HEDIS Health Plan Accreditation Standards

HEDIS Health Plan Accreditation Standards

What is HEDIS®?

The Healthcare Effectiveness Data and Information Set (HEDIS) is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.
The performance measures in HEDIS are related to many significant public health issues including:

cancer
heart disease
smoking
asthma
diabetes
HEDIS also includes a standardized survey of consumers’ experiences that evaluates plan performance in areas such as:

customer service
access to care
claims possessing
HEDIS is sponsored, supported and maintained by National Committee for Quality Assurance (NCQA).

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA HEDIS Compliance Audit is a trademark of the National Committee for Quality Assurance (NCQA).