2018 Annual HMO and PPO HEDIS® Reports

Posted September 26, 2018

Each year, Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare 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 2018 BCBSIL HMO and PPO HEDIS Reports, which are based on 2017 data using HEDIS 2018 specifications, include measures across domains of care that reflect: effectiveness of care, access/availability of care and utilization. The 2018 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, BlueCare DirectSM and Blue FocusCareSM combined. The complete HMO and PPO HEDIS Reports are available on the Clinical Resources/Quality Improvement page.

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