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.
HMO
The 2017 BCBSIL HMO HEDIS Report, which is based on 2016 data using HEDIS 2017 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 HMOSM combined. The 2017 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.
PPO
The 2017 BCBSIL PPO HEDIS results are based on 2016 data, using HEDIS 2017 specifications, and include members who live in Illinois. The 2017 Quality Compass National Average rates are provided for comparison of the BCBSIL PPO performance to the performance of other commercial health plans.
To learn more about the HMO Illinois and Blue Advantage HMO Quality Improvement program, including goals, processes and outcomes related to member care and service, call 312-653-3465.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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