Why Does BCBSMT Collect HEDIS Data?
BCBSMT is required by state law (MCA 33-36-101, et. Seq., The Managed Care Plan Network Adequacy and Quality Assurance Act) to meet minimum standards of network adequacy and quality of care and to use HEDIS measures.
HEDIS data allows BCBSMT to demonstrate the performance of BCBSMT provider networks relative to other managed care organizations operating in Montana and nationally.
HEDIS data allows managed care organizations to identify opportunities for improvement and to implement appropriate interventions.
HEDIS questions? Call 1-800-447-7828, Extension 6462.