HEDIS 3.0 advances health plan accountability.
The National Committee for Quality Assurance recently issued Health Plan Employer Data and Information Set 3.0 (HEDIS 3.0), the third version of its performance measurement system for managed care plans. This most recent version of HEDIS contains more performance measures than the previous versions and requires health plans to use uniform definitions and data-gathering procedures for commercial, Medicare, and Medicaid members. Data must be submitted in the aggregate, and individual reports must be prepared for different types of managed care products. While HEDIS 3.0 will not be able to answer all of consumers' informational needs, it will provide purchasers and consumers with more information than they had before and, thus, make health plans more accountable for the services they provide.
Grimaldi
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Birch & Davis Health Management Corporation, Silver Spring, MD, USA.
D003625:Data Collection / Q000592:standards; D006264:Health Benefit Plans, Employee / Q000592:standards*; D017048:Health Care Costs; D006297:Health Services Accessibility; D007255:Information Services; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000145:classification*; D012941:Social Responsibility; D014481:United States