Common use of HEDIS and CAHPS Reporting Clause in Contracts

HEDIS and CAHPS Reporting. Contractor shall submit to the Exchange HEDIS and CAHPS scores to include the measure numerator, denominator and rate for the required measures set that is reported to NCQA Quality Compass and/or DHCS, per each Product Type for which it collects data in California. These measures may change as some may be added or removed by NCQA. The Exchange reserves the right to use the Contractor-reported measures scores to construct Contractor summary quality ratings that the Exchange may use for such purposes as supporting consumer choice and the Exchange’s plan oversight management.

HEDIS and CAHPS Reporting. Contractor shall submit to the Exchange HEDIS and CAHPS scores to include the measure numerator, denominator and rate for the required measures set that is reported to NCQA Quality Compass and/or DHCS, per each Product Type for which it collects data in California. These measures may change as some may be added or removed by NCQA. The Exchange reserves the right to use the Contractor-Contractor reported measures scores to construct Contractor summary quality ratings that the Exchange may use for such purposes as supporting consumer choice and the Exchange’s plan oversight management.