HEDIS – Health Care Effectiveness Data and Information Set – is a nationally standardized set of measures related to important areas of care and service. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health care performance measures in the United States.

The 2009 HEDIS Report summarizes the audited HEDIS results based on 2008 data using HEDIS 2009 specifications. Included are 74 measures across eight domains of care that reflect: effectiveness of care, access/availability of care and use of services. Blue Cross and Blue Shield of Illinois reports combined audited HEDIS results for HMO Illinois and BlueAdvantage^SM HMO.

View the 2009 HEDIS results.

CAHPS^® Results Show Member Satisfaction Levels
As part of HEDIS, CAHPS^® – Consumer Assessment of Health Plans Survey – reports how members feel about their experience with care and service (the survey is sent to a random sample of HMO members). The 2009 CAHPS^® Survey Results are based on care provided in 2008.

Member satisfaction with the HMOs of BCBSIL trended upward this year and remains several points above national averages. The percent of respondents who said their health plan’s customer service ‘always’ gave them the information or help they needed increased significantly from 2008 to 2009. Significant multi-year trends show increases in members reporting satisfaction with their personal doctor and satisfaction with claims processing.

View the 2009 CAHPS^® results.

For More Information
For more information about our HMO Quality Improvement Program, call us at (312) 653-3465.

HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS^®® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).