HEDIS (Healthcare Effectiveness Data and Information Set)
HEDIS -- Pros and Cons
When it comes to measuring the performance of American health plans, this is where HEDIS (Healthcare Effectiveness Data and Information Set) comes into use. It is widely used throughout America to assess the quality of health services and has 81 measures across 5 care domains. According to NCQA, HEDIS presents a reasonable comparing measure since it is used by so many plans to collect data and also because it is a very accurate measure.
Pros of HEDIS Measures:
HEDIS data is used by several health care plans to the employers as well as for self-assessment and improvement. It is also used by employers, consultants and consumers to help in finding the best health plans suitable for their requirements. Results produced by the HEDIS measures are double checked by the auditors who carefully examine the reports to ensure accuracy. The audit is done on the basis of method provided by National Committee for Quality Assurance.
It is also crucial that HEDIS is maintained up-to-date and does not consist of any obsolete data. To look after this issue, the NCQA's Committee on Performance Measurement, which is a group consisting of employers and consultants, organizes meetings and debates to decide which measures...
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