Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. HEDIS 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.
Commercial
BCBSIL reports audited HEDIS results for our PPO, Blue Choice PPOSM and HMO Illinois®, Blue Advantage HMOSM, Blue Precision HMOSM, BlueCare DirectSM and Blue FocusCareSM products. BCBSIL collects HEDIS data from our providers to measure and improve the quality of care our members receive. Learn more
Medicaid (BCCHP/MMAI)
BCBSIL collects HEDIS data from our providers to measure and improve the quality of care our members receive. BCBSIL reports audited HEDIS results for Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM. These results are sent to the Illinois Department of Healthcare and Family Services (HFS), Centers for Medicare & Medicaid Services (CMS) and NCQA. Learn more
HEDIS Tip Sheets
BCBSIL created tip sheets to help you satisfy HEDIS measures and code appropriately. These measures from NCQA help ensure our members receive appropriate care. Learn more
HEDIS is a registered trademark of NCQA. Use of this material is subject to NCQA’s copyright, found here. The NCQA HEDIS measure specification has been adjusted pursuant to NCQA’s Rules for Allowable Adjustments of HEDIS. The adjusted measure specification may be used only for quality improvement purposes.