HEDIS® Performance Measures
The TRICARE Management Activity (TMA) has challenged Humana Military to collaborate with its network providers to improve the HEDIS scores of TRICARE beneficiaries. The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA).
NCQA designed HEDIS to allow consumers to compare their health plan’s performance to other plans and to national or regional benchmarks. Although not originally intended for trending, HEDIS results are increasingly used to track year-to-year performance as well.
The HEDIS performance measures address a broad range of important health issues, including:
- Comprehensive diabetes care
- Breast cancer screening
- Cervical cancer screening
- Colorectal screening
- Childhood and adolescent immunization status
- Use of appropriate medications for people with asthma
Improving HEDIS scores is another element of Humana Military’s ongoing efforts to help TRICARE beneficiaries improve their health and better manage chronic health conditions. This goal also supports the Population Health segment of the TMA’s Quadruple Aim. This segment seeks to reduce generators of ill health by encouraging healthy behaviors and decreasing likelihood of illness through focused prevention and increased resilience.
For more information on HEDIS, search for HEDIS at Humana-Military.com.