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HEDIS

Health Plan Employer Data and Information Set

HEDIS is a set of standardized performance measures designed by the National Committee for Quality Assurance (NCQA) to monitor a managed care organization's effectiveness.  HEDIS data is the national standard for measuring the performance of managed care organizations.

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.

 
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