The Healthcare Effectiveness Data and Information Set, HEDIS, is an extensive set of measures used to assess healthcare utilization and determine how services impact beneficiaries’ health outcomes. HEDIS is important because it reflects and impacts the plan’s:
Member Satisfaction
Members receive better care and experience positive health outcomes.
Financial Incentives
HEDIS performance used as a basis for bonuses or reimbursement adjustments.
Competitive Advantage
Enhance plan’s competitiveness. Consumers and clients choose plans with strong HEDIS record.
Regulatory Compliance
Meets regulatory standards and complies with industry guidelines.
