HEDIS®



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Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited HEDIS® results – Health Care Effectiveness Data and Information Set. 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.




HMO

Each year, Blue Cross and Blue Shield of Illinois reports audited Health Care Effectiveness Data and Information Set (HEDIS) results 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 2013 BCBSIL HMO HEDIS Report, which is based on 2012 data using HEDIS 2013 specifications, 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.

 

View the 2013 HMO HEDIS results

 

PPO

The 2013 BCBSIL PPO HEDIS results have been audited. They are based on 2012 data using HEDIS 2013 specifications, and include members residing in Illinois. Overall the PPO results (limited to members residing in Illinois only) exceeded national average for 15 HEDIS indicators.

 

View the 2013 PPO HEDIS results


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

HEDIS is a registered trademark of NCQA.