_hRos0Tx|1Ug% 0000021981 00000 n 0000015158 00000 n xref NCQA > HEDIS MY 2023 Risk Adjustment Tables means youve safely connected to the .gov website. <> Sign up to get the latest information about your choice of CMS topics. !A 0000005676 00000 n More than 200 million people are enrolled in plans that report HEDIS results. HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. t,f`$yF;zXytHo. G-3245 Beecher Road Flint, Michigan 48532 <> PDF HEDIS MY2022 Hybrid Measure Quick Guide %%EOF 0000007331 00000 n 0000004692 00000 n Measurement Year 2020 UHCCP-RI 2022 CAHPS Measurement Year 2021 Quality Compass Measurement Year 2021 National Medicaid Benchmark (Met/Exceeded) Quality Compass Measurement Year 2021 National Medicaid Mean Rating of Health Plan1 86.6% 92.4% 86.8% 50th 86.48% Rating of All Health Care 95.0% 88.4% Small Sample Not Applicable 87.34% SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . 0 . %%EOF 0000015786 00000 n . endstream endobj startxref 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . 0000133309 00000 n HtTYO@~e/wysRx hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ 0000020276 00000 n 2022 Value Based Payment Reporting Requirements - New York State 0000017889 00000 n endobj andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. Outpatient Compare Data | Veterans Affairs MHS leadership and healthcare providers continually assess clinical performance data to ensure beneficiaries receive safe, high quality care in military treatment facilities (MTFs) and TRICARE network hospitals. website belongs to an official government organization in the United States. List and define all quantifiable measures used in this activity. 0000010486 00000 n %PDF-1.7 % CMS Measures Inventory | CMS - Centers for Medicare & Medicaid Services .gov ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> Anticipated Release Date: July 2023. gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# Individual HEDIS Measures Sheets | Providers | Optima Health Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. 2 0 obj 0000018052 00000 n endstream endobj 31 0 obj <>stream %PDF-1.6 % 0000018438 00000 n HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. HEDIS SPECIFICATION OVERVIEW 2021 KEY: Indicates triple weight measure Revised January 2021 All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). DL U `j@ +Y&F] S-ppo>8w4Dg`` C Heres how you know. 0000011691 00000 n By accessing the Product, the User is deemed to have accepted the terms and conditions of this Usage Agreement. PDF Measure Name Abbreviation Measure Description EFFECTIVENESS OF CARE Care for Children Prescribed ADHD Medication Initiation and Continuation measures. rFZ /CvN`(,b$CoyeL`Y6P-@ You will be prompted to log in to your NCQA account. High-qualityhealthcaremustbeequitablehealthcare. Advanced Care Planning. endobj NCQAintroducedraceandethnicitystratificationstofiveHEDISmeasures: Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes, Prenatal and Postpartum Care, and Child and Adolescent Well Care Visits, NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelp, disparitiesincareamongpatientpopulations. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c (Example: COL, BCS measures). Experience of Care. SNPs can use HEDIS performance data to identify opportunities for improvement, monitor the success of quality improvement initiatives, track improvement and provide a set of measurement standards that allow comparison with other plans. 0000005411 00000 n ( hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ PDF 2022 Star Ratings Fact Sheet That is why we publish what we learn from HEDIS in many forums and formats. A,0QV HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. 9 0 obj HEDIS includes measures for physicians, PPOs and other organizations. The rules provide flexibility for evaluating different populations without altering measures clinical intent (e.g., removal of continuous enrollment or product-line criteria). hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E endobj z.XM)Z- b#|UX&)E#T"5Y2]AmiJR Ju:'GVx w9E,*343P@moN$33XN}jl^F-|]}Z{lRt~wOr$.-ks>:599_zrapw)?OqKTa^th>LM _R`]~%Qyqx` 1~ endstream endobj 4921 0 obj <. %PDF-1.7 % endstream endobj startxref R'A@>r 5^[qLp.p*DB24V,mb66vA8kwFvM@gf` r 3 0 obj For the numerator, NCQA allowed follow-up visits with SUD indicated in any diagnosis position; and added pharmacotherapy for alcohol or opioid use disorder; and incorporated outpatient or telehealth visits, for a diagnosis of drug use or overdose; services defined as addressing substance use (per CPT code description), without a diagnosis requirement; visits where a behavioral health assessment or screening is performed; outpatient or telehealth visits with a mental health provider; and substance use services provided by a peer recovery support specialis.

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