HEDIS Part C and D Quality Measures CMS Star Ratings 2016
HEDIS Part C and D Quality Measures CMS 2016
HEDIS Part C Performance, Part D Performance, Part C and D Performance Quality Measures Medicare Ratings 2016
Quality Metrics HEDIS Part C and D 2016
Health Measures HEDIS Part C and D 2016
Performance Measure HEDIS Part C and D Quality Measures 2016
Keywords
CMS Star Rating
CMS Measures
CMS Quality Metrics
CMS Health Measures
CMS Performance Measures
HEDIS Tool
HEDIS Data
NCQA Measurement Process
HEDIS Part C and D Quality Measures 2010 to 2017
The dataset explains different metrics or standard of measurement for Part C and D (Medicare private health plans) reported at the contract level with less than 500 enrolled. Medicare Part C and D is the part of Medicare policy that allows private health insurance companies to provide Medicare benefits. These Medicare private health plans, such as HMOs (Health Maintenance Organization) and PPOs (Preferred Provider Organization), are known as Medicare Advantage Plans.
John Snow Labs Standard End User License Agreement
Last updated:January 20, 2021
This Standard End User License Agreement (“EULA”) applies to customers of John Snow Labs Inc. (as defined below), using any product of John Snow Labs Inc. on John Snow Labs Marketplace as defined below (hereinafter referred to “you”) and John Snow Labs Inc., a Delaware corporation (“John Snow Labs”, “we” or “us”).
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The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used sets of health care SHOULD BE ONE WORD performance measure in the United States. The NCQA measurement development process has expanded the size and scope of HEDIS to include measures for physicians, Preferred Provider Organizations (PPO) and other Health Maintenance Organizations (HMO). The HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. NCQA collects HEDIS data directly from Health Plan Organizations and Preferred Provider Organizations for multiple purposes via the Healthcare Organization Questionnaire (HOQ) and HEDIS non-survey data through the Interactive Data Submission System (IDSS). National Committee for Quality Assurance (NCQA) collects Medicare HEDIS data on behalf of the Centers for Medicare & Medicaid Services (CMS), and Medicaid HEDIS data on behalf of state agencies. In addition, NCQA collects commercial data on behalf of some states and the U.S. Office of Personnel Management for health plan report cards.
The National Committee for Quality Assurance (NCQA) is an independent non-profit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. NCQA operates on a formula of measure, analyze, and improve and it aims to build consensus across the industry by working with policymakers, employers, doctors, and patients, as well as health plans. Health plans seek accreditation and measure performance through the administration and submission of the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
HEDIS data collected by NCQA are important for researchers working to improve the health care system, as well as for NCQA staff seeking to improve the HEDIS measures themselves. Commercial HEDIS data are used to calculate national performance statistics and benchmarks, as well as to set standards for measures included in NCQA’s Accreditation program. Developing a measure is a multi-step process. It involves identifying the clinical area to evaluate; conducting an extensive literature review; developing the measure with the appropriate MAP and other panels; vetting it with various stakeholders; and performing a field-test that looks at feasibility, reliability and validity. NCQA consistently raises the bar. Accredited health plans today face a rigorous set of more than 60 standards and must report on their performance in more than 40 areas in order to earn NCQA’s seal of approval. These standards will promote the adoption of strategies that will improve care, enhance service and reduce costs, such as paying providers based on performance, leveraging the Web to give consumers more information, disease management and physician-level measurement. Many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans.
The dataset mentioned plays a crucial role in supporting applications of Generative AI in healthcare by enhancing terminology accuracy and facilitating better communication among medical professionals and patients.
About this Dataset
Data Info
Date Created
2015-12-17
Last Modified
2018-12-31
Version
2018-12-31
Update Frequency
Annual
Temporal Coverage
2010 to 2017-12-31
Spatial Coverage
United States
Source
John Snow Labs; Centers for Medicare & Medicaid Services;
Source License URL
No data
Source License Requirements
N/A
Source Citation
N/A
Keywords
CMS Star Rating, CMS Measures, CMS Quality Metrics, CMS Health Measures, CMS Performance Measures, HEDIS Tool, HEDIS Data, NCQA Measurement Process
Other Titles
HEDIS Part C and D Quality Measures CMS Star Ratings 2016, HEDIS Part C and D Quality Measures CMS 2016, HEDIS Part C Performance, Part D Performance, Part C and D Performance Quality Measures Medicare Ratings 2016, Quality Metrics HEDIS Part C and D 2016, Health Measures HEDIS Part C and D 2016, Performance Measure HEDIS Part C and D Quality Measures 2016
Data Fields
Name
Description
Type
Constraints
Year
Performance Year of Part C and D (2014, 2015 and 2016)
Demos
