HEDIS Measures are always evolving, and in order for reporting to provide an accurate picture of care, you must adapt
Many health plan organizations, particularly those that work with Medicare Advantage, are required to conduct HEDIS reporting every year. This helps measure their effectiveness across multiple domains of care and provides a valuable resource for their company and for consumers. HEDIS measures are not static, but instead are updated regularly by the National Committee for Quality Assurance (NCQA). This means that in order to fare well in the annual reporting, health plan providers must keep up with changing HEDIS measures and ensure they are providing the best possible care consistent with the present understanding of medical science.
New Measure for 2014
NCQA has added a new HEDIS measure for 2014 called Non-Recommended Cervical Cancer Screening in Adolescent Females. This measure tracks the percentage of women 16 to 20 years of age who are unnecessarily given screenings for cervical cancer. The measure has been introduced in order to assist in the reduction of services that are not necessary or recommended, with the end goal of reducing health care costs for consumers.
Changes to HEDIS Measures for 2014
NCQA has introduced several changes to existing HEDIS measures for 2014:
Breast Cancer Screening: The age range has been modified to 50-74.
Cervical Cancer Screening: HPV co-testing has been added as an appropriate screening method for women 30-64.
Care for Older Adults: Criteria for pain assessment in older adults has been modified.
Potential Drug Disease Interaction in the Elderly: The medication lists have been updated to reflect information from the 2012 American Geriatric Society Beers Criteria.
Relative Resource Use: Changes have been made to relative resource use measures related to treatment of asthma, diabetes and cardiovascular conditions.
Supplemental Data Use: The requirements regarding what qualifies as valid supplemental data for HEDIS reporting have been clarified.
Are You Ready to React to Changing HEDIS Measures?
Health plan providers have many different tasks before them when it comes to adapting to changing HEDIS measures. Fortunately, HEDIS Nurses can take some of the pressure off by handling a very important one of these tasks for them: training of HEDIS nurse abstractors in the new measures and codes. When health plan providers secure the data for their reporting through our abstractors, they can rest assured they are working with fully trained, highly qualified staff that are up to date with all the latest HEDIS measures and able to provide accurate data for reporting projects.
HEDIS Measures are always evolving, and in order for reporting to provide an accurate picture of care, you must adapt
Many health plan organizations, particularly those that work with Medicare Advantage, are required to conduct HEDIS reporting every year. This helps measure their effectiveness across multiple domains of care and provides a valuable resource for their company and for consumers. HEDIS measures are not static, but instead are updated regularly by the National Committee for Quality Assurance (NCQA). This means that in order to fare well in the annual reporting, health plan providers must keep up with changing HEDIS measures and ensure they are providing the best possible care consistent with the present understanding of medical science.
New Measure for 2014
NCQA has added a new HEDIS measure for 2014 called Non-Recommended Cervical Cancer Screening in Adolescent Females. This measure tracks the percentage of women 16 to 20 years of age who are unnecessarily given screenings for cervical cancer. The measure has been introduced in order to assist in the reduction of services that are not necessary or recommended, with the end goal of reducing health care costs for consumers.
Changes to HEDIS Measures for 2014
NCQA has introduced several changes to existing HEDIS measures for 2014:
Breast Cancer Screening: The age range has been modified to 50-74.
Cervical Cancer Screening: HPV co-testing has been added as an appropriate screening method for women 30-64.
Care for Older Adults: Criteria for pain assessment in older adults has been modified.
Potential Drug Disease Interaction in the Elderly: The medication lists have been updated to reflect information from the 2012 American Geriatric Society Beers Criteria.
Relative Resource Use: Changes have been made to relative resource use measures related to treatment of asthma, diabetes and cardiovascular conditions.
Supplemental Data Use: The requirements regarding what qualifies as valid supplemental data for HEDIS reporting have been clarified.
Are You Ready to React to Changing HEDIS Measures?
Health plan providers have many different tasks before them when it comes to adapting to changing HEDIS measures. Fortunately, HEDIS Nurses can take some of the pressure off by handling a very important one of these tasks for them: training of HEDIS nurse abstractors in the new measures and codes. When health plan providers secure the data for their reporting through our abstractors, they can rest assured they are working with fully trained, highly qualified staff that are up to date with all the latest HEDIS measures and able to provide accurate data for reporting projects.
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