Latest HEDIS Audit Results Now Available

HEDIS You can now view the most recent performance measures for the Healthcare Effectiveness Data and Information Set (HEDIS®) via NaviNet® by following these steps:

  • Click Resource Center from the left menu
  • Once you arrive at the Provider Resource Center, select EDUCATION/MANUALS
  • Click HEDIS®
  • Choose HEDIS Results

These just-released results are based on services received in 2021 and reported in 2022. To help with benchmarking, the Quality Compass® 2022 national averages are also included with the HEDIS data.

Background

HEDIS is the most widely used set of performance measures in the managed care industry. The published results enable members and providers to compare how plans perform.

HEDIS data is collected annually and covers:

  • Effectiveness of care
  • Access/availability of care
  • Experience of care
  • Use of services

Developed by the National Committee for Quality Assurance (NCQA), HEDIS is part of the NCQA Accreditation Program and establishes accountability in health care through performance measurements used by the Centers for Medicare and Medicaid Services (CMS) and other third-party reporting agencies.

Important Disclaimers

The source of the data contained in this publication is Quality Compass® 2022 and is used with the permission of the NCQA. Quality Compass 2022 includes certain Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on this data is solely that of the authors. The NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion.

Quality Compass is a registered trademark of the NCQA. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Additional information related to 2022 CAHPS reporting can be found here .

Per CMS guidance, 2021 Medicare product survey results were not reported or released for comparison.

 

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