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Health Plan Employer Data and Information Set (HEDIS®)
National Committee for Quality Assurance (NCQA).
Mode of Administration
NCQA collects HEDIS® data directly from managed care organizations and preferred provider organizations for multiple purposes. All HEDIS® data are maintained in a central database.
HEDIS® is a set of standardized performance measures designed to assess the quality of health care and services provided by managed care plans. It is a common data collection instrument that the Centers for Medicare & Medicaid Services has adopted for its own use in monitoring plans. It was developed by the National Committee for Quality Assurance to provide purchasers and consumers with the ability to evaluate the quality of different health plans and to make their plan decisions based upon demonstrated value rather than simply on cost.
Primary Survey Content
HEDIS® is focused on eight measure areas:
Effective of care
Access/availability of care
Satisfaction with the experience of care (member satisfaction)
Health plan stability
Use of services
Health plan descriptive information
Cost of care
Informed health care choices
Medicaid, Medicare, Commercial insurance. The care needs of different populations vary, and health plan systems for managing care may be quite population specific.
Age, sex, race, education.