Blue Access for Employers

HEDIS® HMO and PPO 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.

 

HMO

The 2014 BCBSIL HMO HEDIS Report, which is based on 2013 data using HEDIS 2014 specifications, includes measures across domains of care that reflect effectiveness of care and access/availability of care and utilization.

Audited HEDIS results are reported for HMO Illinois and BlueAdvantage HMO combined. The 2014 Quality Compass National Average rates are also included in this report for comparison of the HMO performance to the performance of other commercial health plans.

View 2014 HMO HEDIS Report

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.

 

PPO

The 2014 Quality Compass National Average rates are provided for comparison of the BCBSIL PPO performance to the performance of other commercial health plans. The table summarizes the HEDIS 2014 BCBSIL PPO rates (for Illinois residents only) for select measures.

View 2014 PPO HEDIS Report

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