HEDIS data definition

HEDIS data means the elements of the Health Plan Employer Data and Information Set as defined by the National Committee on Quality Assurance.
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HEDIS data means the complete set of HEDIS measures calculated by the carriers according to NCQA specifications, including a set of required measures and voluntary measures defined by the department, in consultation with the carriers.
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HEDIS data means the complete set of HEDIS measures calculated by HMOs and health plans according to NCQA specifications.
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Examples of HEDIS data in a sentence

  • Following the NCQA data definitions and specifications, all health plans shall annually submit to DAS and NCQA both HEDIS data and customer service performance data for its commercial membership, and to DAS both HEDIS data and customer service performance data for its State employee membership.

  • The QM/QI Coordinator is responsible for overseeing reporting and outcome measurement and HEDIS data collection, serving as point person between the Department and the Department’s EQR contractor.

  • County further agrees to participate in all quality improvement studies including, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS) data collection.

  • The Contractor shall be required to collect and report HEDIS data annually.

  • Analyze plans’ HEDIS data, issue logs and health plan contract compliance issues and make recommendations to the JHCC on actions it might take; Monitor relevant health care issues and wellness initiatives and make recommendations to the JHCC for potential action.

  • After completion of the Contractor’s annual HEDIS data collection, reporting and performance measure audit, the Contractor shall submit to the Department the Final Auditor’s Report issued by the NCQA certified audit organization and an electronic (preferred) or printed copy of the interactive data submission system tool (formerly the Data Submission tool) by no later than each August 31.

  • For example, in developing the auto-assignment methodology, the State reserves the right to consider factors such as Contractor performance on clinical quality outcomes as reported through HEDIS data, enrollee satisfaction as delineated through the CAHPS survey results, network access and other outcome measures.

  • The only exclusion from the complete Medicaid HEDIS data set shall be dental measures.

  • These performance measures, not included in the HEDIS data set, have been determined by the Agency to be critical to the needs of the Medicaid population.

  • Any potential payments to the Contractor will occur in 2012 based on 2011 HEDIS data.


More Definitions of HEDIS data

HEDIS data means the complete set of HEDIS measures calculated by HMOs and health plans according to NCQA specifications, including a set of required measures and voluntary measures defined by the department, in consultation with HMOs or health plans.
View Source
HEDIS data means the complete set of HEDIS measures calculated by the health plans according to NCQA specifications, including a set of required measures and voluntary measures defined by the department, in consultation with the health plans.
View Source
HEDIS data means the complete set of HEDIS measures calculated by the health plans according to NCQA specifications, including a set of required measures and voluntary
View Source

Related to HEDIS data

  • Pseudonymous data means information that cannot be attributed to a specific individual without the use of additional information provided that it is kept separately and subject to appropriate technical and organizational measures to ensure that it is not attributed to the individual.

  • Anonymous Data means Personal Data that has been processed in such a manner that it can no longer be attributed to an identified or identifiable natural person.

  • Study Data shall have the meaning set forth in Section 8.1.

  • System Data means data and data elements collected by the SaaS Software, SaaS Service or Licensor’s computer systems regarding configuration, environment, usage, performance, vulnerabilities and security of the SaaS Software or SaaS Service that may be used to generate logs, statistics and reports regarding performance, availability, integrity and security of the SaaS Software.

  • GLO Data means any data or information owned by the GLO, including PII or SPI as defined below, that Provider creates, obtains, accesses (via records, systems, or otherwise), receives (from the GLO or on behalf of the GLO), or uses in the performance of the Contract or any documents related thereto.