Wednesday, October 29, 2014

HEDIS for CY2015




HEDIS measures for two types of care: preventive health care and condition-specific care. For more details :  www.accuchecker.com

 

The HEDIS measurement set includes over 80 quality indicators for commercial, Medicare, Special Needs Plan (SNP), Medicaid and Health Insurance Marketplace including Consumer Operated and Oriented Plan (CO-OP) reporting. Changes for HEDIS 2015 reporting are outlined below. For additional details on the revised measure specifications and general guidelines, documents contact us or e-mail our HEDIS team at hppaccuchecker@gmail.com 

New Measures

For HEDIS 2015 reporting, NCQA has added the following new measures. Since they are first-year measures, they are not eligible for public reporting by NCQA. However, individual states may opt to report organization-specific results.

  • Non-Recommended PSA-Based Screening in Older Men
  • Use of Multiple Concurrent Antipsychotics in Children and Adolescents
  • Metabolic Monitoring for Children and Adolescents on Antipsychotics
  • Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics

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Retired Measures

Beginning with HEDIS 2015, the following measures or measure indicators have been retired from the HEDIS reporting set.

  • Glaucoma Screening in Older Adults
  • Cholesterol Management for Patients With Cardiovascular Conditions
  • LDL-C Screening and LDL-C Control Indicators for Comprehensive Diabetes Care
  • Anticonvulsants Indicator for Annual Monitoring for Patients with Persistent Medications

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Measures Eligible for Rotation

Commercial and Medicaid organizations are eligible to rotate the following measures for HEDIS 2015 reporting.

  • Adult BMI Assessment
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
  • Childhood Immunization Status
  • Immunizations for Adolescents
  • Lead Screening in Children
  • Colorectal Cancer Screening
  • Comprehensive Diabetes Care
  • Well-Child Visits in the First 15 Months of Life (Medicaid only)
  • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (Medicaid only)
  • Adolescent Well-Care Visits (Medicaid only)

FOR MORE INFORMATION PLEASE CONTACT:
HPP Management Group, Corp.
Developers of the AccuChecker Product Line
Phone: (305) 227-2383
 

 

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For More Info: 

Contact :                  Paul G. Silverio-Benet

                                    psilben@hppcorp.com

                                    hppaccuchceker@gmail.com

               

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