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ACL Tip Sheet: Assessing Health Plans’ NCQA HEDIS Performance

This tip sheet form the Administration for Community Living (ACL) provides guidance on how to determine how a specific health plan performed on the National Committee for Quality Assurance’s (NCQA) Health Effectiveness Data and Information Set (HEDIS) measures.

HEDIS measures are the key quality metrics by which health plans are assessed, and knowing how a plan performed in a specific HEDIS measure can provide a direct opportunity for a community-based organization (CBO) to propose an evidence-based intervention to help the plan improve its HEDIS score.

 

ACL Tip Sheet: Assessing Health Plans’ NCQA HEDIS Performance