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.
The 2016 BCBSIL HMO HEDIS Report, which is based on 2015 data using HEDIS 2016 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 Blue Advantage HMO combined. The 2016 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.
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.
The 2016 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 2016 BCBSIL PPO rates (for Illinois residents only) for select measures.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).