Which Payer Type Uses Hedis Measures?
More Than 90 Percent of Health Plans—Hmos, Pos Plans, and Ppos—Use Hedis to Measure Performance. Hedis Is Managed by the National Committee for Quality...
More than 90 percent of health plans—HMOs, POS plans, and PPOs—use HEDIS to measure performance. HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization that accredits and certifies health care organizations.
Is HEDIS for Medicare or Medicaid?
HEDIS reporting is a requirement of health plans by NCQA and the Centers for Medicare and Medicaid Services (CMS) for use in health plan accreditation, Star Ratings, and regulatory compliance.
Who are the primary users of HEDIS?
Employers, consultants, and consumers use HEDIS data, along with accreditation information, to help them select the best health plan for their needs.