2019 Annual HMO and PPO HEDIS® Reports

Posted October 2, 2019

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.

BCBSIL’s 2019 HMO and PPO HEDIS Reports, which are based on 2018 data using HEDIS 2019 specifications, include measures across domains of care that reflect: effectiveness of care, access/availability of care and utilization.

The 2019 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 Quality Improvement page on our Provider website.

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