The Healthcare Effectiveness Data and Information Set (HEDIS)
The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 92 measures across six domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an apples-to-apples basis.
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
Contact us
For HEDIS Medicare Part C inquiries:
Abel Perez
Servicing the Miami Area
786-918-6343
aperez3@elevancehealth.com
Liza Verges
Servicing the Tampa Bay and Orlando Area
352-424-8038
Liza.verges@simplyhealthcareplans.com
Resources
- HEDIS ECDS Coding Booklet 2024
- MY2023 Medicare HEDIS Osteoporosis in Management in Women (OMW) Guide
- Medicare HEDIS Kidney Health Evaluation (KED) Guide
- MY2023 Medicare HEDIS Eye Exam Patients with Diabetes (EED) Guide
- MY2023 Medicare HEDIS Breast Cancer Screening (BCS) Guide
- MY2023 Medicare HEDIS Colorectal Cancer Screening (COL) Guide
- MY2023 Medicare HEDIS Transition of Care (TRC) Guide
- Breast Cancer Screenings & 3D Mammograms
- 2023 Medicare HEDIS Desktop Reference Guide
- HEDIS Record Requests Training MY2022
- MY2023 Medicare HEDIS Coding Measures Booklet
- HEDIS: Appropriate testing for pharyngitis
- HEDIS CDC and CBP Guide
- HEDIS® Comprehensive Diabetes Care (CDC) — Eye Exam Guide
- 2022 HEDIS Coding Booklet (Medicaid)
- MY2023 Medicare Diabetes Measures