2012 Annual HEDIS® and CAHPS® Reports
Each year Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited HEDIS results — Health Care Effectiveness Data and Information Set — for HMO Illinois and BlueAdvantageSM HMO. 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 set of health care performance measures in the United States.
The 2012 BCBSIL HMO HEDIS Report, which is based on 2011 data using HEDIS 2012 specifications, includes measures across seven domains of care that reflect: effectiveness of care, access/availability of care and use of services. Audited HEDIS results are reported for HMO Illinois and BlueAdvantage HMO combined. Overall, the HMOs exceeded the national average for 25 HEDIS indicators.
The 2011 BCBSIL PPO HEDIS results have been audited. They are based on 2010 data using HEDIS 2012 specifications and include members residing in Illinois.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® Results Show Member Satisfaction
As part of HEDIS, a survey is sent to a random sample of HMO members. Results of how members feel about their experience with care and service are reported in the CAHPS® — Consumer Assessment of Healthcare Providers and Systems — Report. The 2012 CAHPS® results are based on care provided in 2011. The following observations were noted:
- Member satisfaction with the HMOs of BCBSIL remained stable this year and when combining the 3 most favorable responses (8, 9, and 10 on a 0–10 scale) scored significantly higher than national averages.
- No significant changes in HMO scores from 2011 to 2012.
- BCBSIL HMOs rank at or above the 50th percentile of national benchmarks on 5 of 9 key composite measures.