Blue Access for Employers

2013 Annual HEDIS® Reports

Each year, Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Health Care Effectiveness Data and Information Set (HEDIS) results. HEDIS is a nationally standardized set of measures related to important areas of care and service. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used sets of health care performance measures in the United States.

2013 Annual HMO HEDIS Report 
This report is based on 2012 data using HEDIS 2013 specifications. It includes measures across domains of care that reflect effectiveness of care, access/availability of care and utilization. Audited HEDIS results are reported for HMO Illinois and BlueAdvantage HMO combined. Overall, the HMOs exceeded the national average for 23 HEDIS indicators.

To learn more about the HMO Illinois and BlueAdvantage HMO Quality Improvement program, including goals, processes and outcomes related to member care and service, call 312-653-3465 and request information about the QI program.

2013 Annual PPO HEDIS Report 

The 2013 Quality Compass National Average rates are included in this report. The performance of BCBSIL PPO can be compared to other health care organizations submitting data to NCQA. Summarized in the table are the HEDIS 2013 BCBSIL PPO rates for select measures.

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