Defining HEDIS
People
can easily compare the quality of plans to other plans using Quality Report
Cards. The report cards use a standard set of measures called the Healthcare
Effectiveness Data and Information Set (HEDIS®).* More than 90 percent of
America's health plans use HEDIS to evaluate performance.
•Access
to care – How well did the plan provide access to needed care? What percentage
of adults and children saw doctors for routine or preventive care, such as
immunizations against childhood diseases?
•Prevention
and screening – What percentage of members had health screenings?
•Maternity
care – What percentage of pregnant women had proper maternity care?
•Treatment
of acute and chronic illness – What percentage of members had treatment for
certain acute and chronic conditions?
•Behavioral
health – What percentage of members had treatment for certain behavioral health
conditions and follow-up care?
•Member
satisfaction – How satisfied were members with the plan and the doctors in its
network?
AccuChecker is
your source to capture the HEDIS Measures. For details as to how Health Plans
Path and / or AccuChecker can help call : 305-227-2383 or 1-877-938-9311
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