The Health Employer Data and Information Set (HEDIS) is a tool used by the vast majority of health providers within the USA. It measures the quality of certain aspects of care and service in the medical industry and allows us to compare how different health plans perform within numerous distinctly defined areas. It also allows the plans themselves to be analyzed so that the providers can work on any areas which need improvement. HEDIS has many benefits for the consumer since it works as a litmus test to highlight the best healthcare plans amongst all the competition and is a useful instrument when searching for a first-class medical insurance policy.

HEDIS works by addressing 71 issues important to the entire range of healthcare. These include high blood pressure control, breast cancer screening and the management of anti-depressant medication to name a few. By looking at each health plan and determining how it performs in each of these areas, it is possible to quantify the health insurance quality and rank one plan above another. HEDIS, along with the relevant state accreditation information, gives us a great method of looking at the performance of each type of healthcare policy. By creating a thorough, detailed framework to undertake measurements in, we can now reliably compare plans and make smarter decisions.

To keep on giving you accurate information about the quality of your care, all of the measures are reevaluated each year. This ensures that the ranking and performance reviews of each healthcare plan remain up-to-date so that the consumer gets a relevant ranking when comparing health insurance. This health employer data and information also includes the CAHPS 4.0 survey which describes customer satisfaction with the care that they are receiving. This includes aspects such as customer service, claims processing and receiving care in an efficient manner. This survey and HEDIS make it possible to measure both the performance of the plan with respect to both the quality of the medical treatment and the manner in how the insurance is processed.

There are several ways for the consumer to access HEDIS to compare insurance. Each year, the US News & World Report publishes a list of the top 50 commercial plans and the top 25 plans for Medicare and Medicaid. These rankings are created using HEDIS, CAHPS and accreditation data. There are many online sources that contain national, regional and state averages for commercial plans. These are just two of the ways in which you can compare health insurance quality and find the best plan within your area. Thanks to HEDIS, it is now even easier to locate truly effective medical care to give you the protection you deserve.