2017 Annual HMO and PPO HEDIS® Reports

Posted December 4, 2017

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 set of health care performance measures in the U.S. 

The 2017 BCBSIL HMO and PPO HEDIS Reports, which are based on 2016 data using HEDIS 2017 specifications, include measures across domains of care that reflect: effectiveness of care, access/availability of care and utilization. The 2017 Quality Compass National Averages are provided to compare the commercial HMO and PPO’s performance to the performance of other health care organizations submitting data to NCQA. Audited HMO HEDIS results are reported for HMO Illinois®, Blue Advantage HMOSM, Blue Precision HMOSM and BlueCare DirectSM combined. The complete HMO and PPO HEDIS Reports are available in the Clinical Resources/Quality Improvement/HEDIS section.