What is the purpose of hedis

the healthcare effectiveness data and information set – hedis — was created by the national committee for quality assurance (ncqa) to measure the clinical quality performance of health plans. right now, magellan has entered the final phase of data collection for hedis quality measures for 2017. there are 91 hedis 2017 measures, but it’s important to note that the number may vary from year to year as new measures are added to the set and some are retired. the final phase of data collection for health plans choosing to do hybrid runs from january through may and is often called mrr for medical record retrieval, or simply ‘chart chase.’  final hedis data covering services rendered in 2016 and prior will be submitted to ncqa by june 15, 2017.  final health plan ratings for all lines of business are published on the ncqa website by october 2017. for health plans, hedis ratings can be very important. behavioral health and pharmacy are well represented in the hedis measure set.




so, what is the value of hedis to magellan? by following the behavioral health data, we collect, for example, we can identify gaps in network performance in patient follow-up patterns, management of drug and alcohol abuse, and prescribing and adherence to medications. as the healthcare industry moves more and more toward value-based purchasing, all providers, insurers and their vendors are necessarily increasingly focused on the quality of care that is delivered. although this article is from 2017, it’s explanation of hedis and how the medical industry is moving to a more streamlined way of not only providing service, but how data is collected is spot on. what is hedis and what does it mean to you?

the healthcare effectiveness data and information set (hedis) is one of health care’s most widely used performance why is hedis® important to the provider? ❖ how is purpose of hedis® data collection is permitted and does not. magellan’s collection of hedis (healthcare effectiveness data and information set) quality measures, why is hedis important, why is hedis important, list of hedis measures 2019, hedis measures 2020, hedis certification. hedis is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance. hedis measures relate to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes.nov 15, 2019

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