HEDIS stands for Healthcare Effectiveness Data and Information Set, according to the National Community for Quality Assurance. Qualified auditors use a NCQA design to scrutinize data thoroughly in order to validate HEDIS results.Continue Reading
Many health plans use HEDIS data to asses their performance, and this makes it possible to compare similar plans, explains the National Community for Quality Assurance. The 81 HEDIS measures are grouped into five domains of care, and these measures include asthma medication use, breast cancer screening and comprehensive diabetes care, among others.
Consumers, employers and consultants use HEDIS data and accreditation information to determine the best health plans, notes the National Community for Quality Assurance. In addition to submitting the data to employers, health care plans use the results to improve their services and care.Learn more about Health Insurance