The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools. 191 million people are enrolled in plans that report HEDIS results. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA.

2024年11月15日 · HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. expand all HEDIS Measurement Year 2026

In this video, Brad Ryan, MD, Chief Growth Officer at NCQA, discusses some of these initiatives, including the plan to digitalize HEDIS measures, the timeline to transition to digital quality measures and new resources available to support this transition.

NCQA HEDIS Data Submission Kick-off letter is sent to Primary and Secondary contacts. December NCQA releases the 2025 Online Healthcare Organization Questionnaire (HOQ) for health plans to request and update submissions.

2024年8月1日 · For Measurement Year 2025, NCQA added three HEDIS measures, retired four measures and made smaller changes across multiple measures. We also continue the transition to Electronic Clinical Data Systems (ECDS) reporting.

2024年4月1日 · NCQA’s Measure Certification Program, and is based on unadjusted HEDIS specifications, may not be called a “Health Plan HEDIS rate” until it is audited and designated reportable by an NCQA-Certified HEDIS Compliance Auditor.

Commercial, Medicare and Medicaid plans are rated based on their combined HEDIS® and CAHPS® scores and NCQA Accreditation status. NCQA evaluates health plans on the quality of care patients receive, how happy patients are with their care and health plans’ efforts to …

2025年2月13日 · NCQA seeks public feedback on proposed new HEDIS measures, changes to existing measures and measure retirements. Comments are due March 13.

What is the HEDIS® ECDS Reporting Method? ECDS is a HEDIS reporting method for health plans collecting and submitting quality measures to NCQA. This reporting method includes standards that define the data sources and types of structured data acceptable for use for a …

Beginning MY 2025, NCQA will use an alternative timeline and approach to distribute RAND numbers for HEDIS reporting. This information will be released in the NCQA store for purchasers of HEDIS Volume 2 in the November before production of systematic samples for hybrid reporting (e.g., November 2025, for MY 2025).