Hedis 2021 summary of changes. org Better health care.
Hedis 2021 summary of changes General Guidelines for Data Collection and Accreditation. 15%, 57. 4 . Partnership successfully launched our HEDIS MY2022/RY2023 data collection and reporting audits incorporating all changes as noted above. • Annual Dental Visit (ADV). Below is a summary of some of the key changes to be aware of 2021 State of Maryland Executive Summary Report – CONFIDENTIAL 2 Table Measures and Quality Assurance Plan for HEDIS 2021 Survey Measures. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. SUMMARY OF UPDATES TO THE CHILD CORE SET MEASURES TECHNICAL SPECIFICATIONS AND RESOURCE MANUAL MARCH 2021 Overall Changes • Updated reporting year to FFY 2021, and data collection timeframe to 2020. NCQA has separated the Comprehensive Diabetes Care indicators into stand-alone measures: Medicare Advantage. Cervical Cancer Screening (CCS) Women 21 – 64 years of age who were screened for cervical cancer using either of the following: • Women 21-64 years of age who had cervical cytology performed between 2021-2023. SUMMARY OF UPDATES TO THE ADULT CORE SET MEASURES TECHNICAL SPECIFICATIONS AND RESOURCE MANUAL MARCH 2022 Overall Changes • Updated reporting year to FFY 2022, and data collection timeframe to 2021. We created the HEDIS ® MY 2023 Quick Reference Guide to help you increase your practice’s HEDIS ® rates and address care opportunities for your patients. Summary of Changes • There are no patient-centered social needs requirements in the 2021 Attachment 7. Changes for HEDIS MY 2023 . g. For Measurement Year 2024, HEDIS retired four measures, updated the diabetes measures and made smaller changes across multiple measures. 51 75th (5) ↔ Adherence to Antipsychotic HEDIS® 2021 Measure Changes NCQA reviewed the current HEDIS ® measures during the spring 2020 in response to the COVID-19 (Coronavirus) national emergency. There are no late submissions. The final versions of the Medication List Directory (MLD), Value Set Directory (VSD) and the risk-adjustment tables for MY 2021 reporting are available for free order in the NCQA Store. HEDIS data help identify performance gaps and establish realistic targets for improvement. NCQA HEDIS® Program requirements, applicable laws, and L. 5 Adult Health 14 Women’s Health 18 Pediatric Health 25 General Health . WHAT IS HEDIS ®? HEDIS ® to measure the value of health care based on compliance with HEDIS measures. Please always follow With this release, NCQA freezes the HEDIS technical specifications for MY 2021. Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR). Listed below are examples of areas of consistency, defined as less than one Measure Changes include: • Cervical Cancer Screening o Documentation of “vaginal hysterectomy” meets criteria for documentation of hysterectomy with no residual cervix • We created the HEDIS® MY 2021 Quick Reference Guide to help you increase your practice’s HEDIS® rates and to use to address care opportunities for your patients. The proposed requirements in Article 14 are new requirements in 2022. NCQA announces the following changes for HEDIS. 2, Medi-Cal HEDIS® Performance Summary Last updated 10/13/2023 HEDIS HEDIS ® Measures for Medi-Cal MY 2020 HEDIS MY 2021 MY 2022 HEDIS MY 2022 Percentile (Plan Rating) Percentile movement Adherence to Antipsychotic Medications for Individuals with Schizophrenia 68. The changes are effective for the measurement year (MY) 2020 to 2021. Below is a summary of some of the key changes to be Are you prepared for the upcoming changes for HEDIS 2021? Impresiv Health breaks down what is changing, and what deadlines you need to know about. The following guidance and changes were released: Medicare HEDIS® Performance Summary Last updated 07/12/2022 HEDIS ® Measures for Medicare HEDIS MY 2020 HEDIS MY 2021 HEDIS MY 2022 HEDIS 2022 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – 65+ years 0. Below is a summary of the key changes to be awar HEDIS MY 2021 & CAHPS MY 2021 (Reporting Year 2022) Medicare: HEDIS MY 2021 (Reporting Year 2022) CAHPS MY 2020 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Posting • Added the following measures: Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. · Several fi rst year measures HEDIS® 2021 Measure Details Controlling High Blood Pressure (CBP) Members 18–85 years of age who had a diagnosis of hypertension may be included in, but not limited to, a discharge summary or summary of care record or be located in structured fields in an EHR. (Table 1). Retired Measures •Breast Cancer Screening (BCS) *. Effectiveness of Care Measures BCS - Breast Cancer Screening5 COL - Colorectal Cancer Screening5 SPR - Use of Spirometry Testing in the Assessment and Diagnosis of ChronicObstructive Pulmonary Disease 5(COPD) PCE - Pharmacotherapy 1Management of COPD Exacerbation CBP - August 2021 (for September 2021 version) Major changes Paragraph 96: Clarification on the use of a provider’s internal progress and assessment data on inspection. Below is a summary of the key changes to be awar HEDIS Volume 2, MY 2022 . • Updated specifications, value set codes, copyright, and table source information to HEDIS MY 2020 & MY 2021 Vol. The National Committee for Quality Assurance (NCQA) is accepting comments through March 11 on proposed changes for HEDIS ® Measurement Year 2022 (MY 2022), which will be published in August 2021. HEDIS MY 2022 Measures . REQUIRED HEDIS®1 AND CAHPS®2 MEASURES FOR HEDIS REPORTING YEAR 2021 Summary of Changes to Measure List: • Added the following measure. The overall Health Plan Rating (HPR) is the weighted average of a plan’s HEDIS and CAHPS measure ratings, plus bonus points for plans with current Accreditation status. Chlamydia Screeningin Women (CHL) to include all members recommended for routine chlamydia screening, including transgender and gender-diverse members. Below is a summary of the key HEDIS 2018 Measures Commercial Medicaid Medicare Changes to HEDIS 2018 Guidelines for Effectiveness of Care • No changes to these guidelines. HEDIS measures represent 16% of the total 2024 Overall Star Ratings weight, and the majority of cut points 2 NCQA 2021 Health Plan Ratings Methodology NCQA 2020 NCQA 2021 HEALTH PLAN RATINGS METHODOLOGY Summary of Changes December 18, 2020 •Revised the language Proposed Changes to Existing Measures for HEDIS® 1 MY 2022: Introduction of Race and Ethnicity Stratification Into Select HEDIS Measures NCQA seeks comments on the proposed The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. Below is a summary of the key discharge summary or summary of care record or be located in structured fields in an electronic health record. Hennepin Health – MNCare HEDIS® rates for 2021 and 2022 are displayed in Table 1. Required Documentation: Patient Engagement After Inpatient Discharge The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Measure descrip With the August publication of the HEDIS Measurement Year 2024 Volume 2: Technical Specifications for Health Plans, the National Committee for Quality Assurance (NCQA) has now confirmed several proposed updates for the Measurement Year (MY) 2024 season following a public comment period earlier this year. In July 2021, NCQA released the Healthplan Rating Methodology: (Plan-wide): As an NCQA Accredited plan, PHC was required to report HEDIS and CAHPS annually, starting June 2022, for measurement year 2021 (MY2021). Hennepin Health created new rewards for health ($50 incentive) to Summary of Performance . EFFECTIVENESS OF CARE Guidelines for Effectiveness of Care •No changes to these guidelines. 2 for all HEDIS The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 5. Why this matters for health The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Source: NCQA. Medicare . Additional exclusions to the measure were also added. 2 for all HEDIS MEASUREMENT YEAR 2023 VOLUME 2 . •Criteria may include the member’s age, gender, enrollment dates, HEDIS 101 Created Date: 2/22/2021 9:34:11 AM HEDIS ® is a widely used set of performance measures developed and maintained by the NCQA. 531. We created the HEDIS ® MY 2021 Quick Reference Guide to help you increase your practice’s HEDIS ® rates and to use to address care opportunities for your patients. Volume 2 Technical Specifications by NCQA and is subject to change. Identifying HEDIS Code and Value Set Changes . NOTABLE CHANGES FOR HEDIS 2021 · Due to the COVID crisis, the NCQA and CMS have agreed to allow telemedicine visits to count towards compliance for multiple HEDIS measures. We created the HEDIS® MY 2021 Quick Reference Guide to help you increase your practice’s HEDIS® rates and to use to address care opportunities for your patients. Telehealth revisions are outlined in each measure specification’s “Summary of Changes” section. A. o Align with guidance from Centers for Medicare & Are you prepared for the upcoming changes for HEDIS 2021? Impresiv Health breaks down what is changing, and what deadlines you need to know about. quality assurance process had been completed, CSS processed member addresses through the USPS National Change of Address Updated to reflect NCQA HEDIS® MY 2021 Technical Specifications Home State Health strives to provide quality healthcare to our membership as measured through HEDIS® quality metrics. Measure Specification . The changes, only in the “proposed” stage, are subject to commentary and public review before the final rule is codified. NCQA has updated telehealth guidance in 40 HEDIS® measures for HEDIS measurement years 2020 and 2021. 2 In 2021, drug overdose accounted for 106,699 deaths, representing a 14% increase in overdose deaths compared to lowest percent increase of 6. 5 to 1. • Updated specifications, value set codes, copyright, and table source information to HEDIS MY 2021 Vol. 2 for all HEDIS Medicare HEDIS® Performance Summary Last updated 07/12/2022 HEDIS ® Measures for Medicare HEDIS MY 2019 HEDIS MY 2020 HEDIS MY 2021 HEDIS 2021 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – 65+ years 0. Recent Publications . Guidelines for Allowable Adjustments of HEDIS • Removed the requirements for utilization measures that count member months in Guideline 10: Denominator Size . Diabetes • Updated the HEDIS MY 2024 RAND Table for Measures Using the Hybrid Method. We created the HEDIS MY 2020 Quick Reference Guide to help you increase your practice’s HEDIS rates and to use to address care opportunities for your patients. Summary of changes Updated 22 October 2024. 1876 Cost contracts are not allowed to submit summary HEDIS PCR data, so they do not have to submit File 2. Below is a summary of the key changes to be awar The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Proposed Changes to Existing Measure for HEDIS® 1 . With the CY2024 Proposed Rule Changes, CMS is once again aiming to dynamically alter the Medicare Stars Quality program. Below is a summary of some of the key changes to be aware of The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. 12 years of age or older (approximately 17. national Medicaid health maintenance organization (HMO) percentiles for HEDIS MY 2021 (referred to throughout this report as percentiles). com Suzanna-Grace Tritt, FSA, CERA, 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 2 Summary Table of Measures, Product Lines and Changes HEDIS 2019, Volume 2 HEDIS 2019 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS 2019 Guidelines SUMMARY OF UPDATES TO THE CHILD CORE SET MEASURES FFY 2024 TECHNICAL SPECIFICATIONS AND RESOURCE MANUAL JANUARY 2024 (UPDATED AUGUST 2024) performance. Priority Measure. Executive Summary 1 About CalPERS 2 2017–22 Strategic Plan 3 Benet Requirements 9 Benets Beyond Medicare 10 Benet Design Changes 11 Actuarial Value (AV) All HEDIS MY 2021 PLD data must be audited and validated prior to submission to CMS June 15, 2022. The HEDIS Measurement Year 2021 (MY 2021) Volume 2 Technical Update PHC successfully launched our HEDIS MY2021/RY2022 data collection and reporting audits incorporating all changes as noted above. 1. Where the patient cannot furnish a HICN, it may be an indication that he/she has not filed an The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. MY 2025: Chlamydia Screening in Women (CHL) NCQA seeks comments on expanding the denominator population of . org (AAP) ADULTS’ ACCESS TO PREVENTIVE/AMBULATORY HEALTH Quick Reference Guide HEDIS® 2021 membership as measured through HEDIS ® quality metrics. Better choices. Quality Compass provides online access to health plan HEDIS ® and CAHPS ® performance data and benchmarks at the national, state and regional levels to help organizations evaluate individual and competitor performance, identify Expansion of race and ethnicity stratification, updates to advance gender-inclusive quality measurement, changes to diabetes-related measures, and several measure retirements are among the changes just proposed to the HEDIS ® program by the National Committee for Quality Assurance (NCQA). 2%) and the Cervical Cancer Screening rate (46. Retired measures. Diabetes The National Committee for Quality Assurance (NCQA) is accepting comments through March 11 on proposed changes for HEDIS ® Measurement Year 2022 (MY 2022), which will be published in August 2021. th. The absolute change captures the difference in rates between the two Required HEDIS ®, CAHPS® and HOS CAHPS MY 2021 (Reporting Year 2022) HOS MY 2021 (Reporting Year 2022) 2023 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA Summary of 2023 Star Rating Cut Point Changes Matt McClintick Dani Cronick, FSA, MAAA 720. Summary of key changes: The proposed changes to the 2025 HEDIS Blood Pressure Measure include broadening the criteria for hypertension diagnosis, introducing a new blood pressure target (<130/80 mm Hg), and transitioning to an Electronic Clinical Data System (ECDS) reporting method, replacing the current hybrid measure. HEDIS Clinical Indicators Description of the HEDIS Indicators 1. Below is a summary of the key changes to be aware NCQA has updated telehealth guidance in 40 HEDIS measures for HEDIS Measurement Years 2020 and 2021. 5 Adult Health 14 Women’s HEDIS MY 2020 HEDIS MY 2021 HEDIS MY 2022 of HEDIS 38 In Summary. 6133 • Dani. On July 1, 2020, NCQA released the new specifications for MY2020/2021. The blood pressure performance measure was revised to reflect a new blood pressure target of <140/90 mmHg for adults age In July of 2021, NCQA released a number of changes to HEDIS measurement specifications that applied to MY2022 that included the following: Clarification change for all measures: Members in hospice or using hospice services anytime during the measurement year are required exclusions. Please always follow the state and/or CMS billing guidance and ensure the HEDIS ® codes are covered prior to submission. The Adult Core Set includes a range of quality measures encompassing both physical and behavioral health. Minnesota strives to produce high HEDIS® rates, focusing upon the quality of We don’t take HEDIS updates and changes lightly: Measure development and major updates follow a rigorous process that includes a public comment period and input from HEDIS ® quality metrics. 4. Below is a summary of the key changes to be aware HEDIS MY 2021 & CAHPS MY 2021 (Reporting Year 2022) Medicare: HEDIS MY 2021 (Reporting Year 2022) CAHPS MY 2020 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Posting • Added the following measures: Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic HEDIS® 2021: Compliance Audit™ As data collection methods vary among health plans, an audit of HEDIS results by an independent agency ensures that HEDIS specifications have been met and adds a higher level of integrity to the HEDIS data. 7 million individuals in the U. Please always follow the State and/or CMS billing guidance and ensure the HEDIS codes are covered prior to submission. (WCC) (Source: HEDIS® MY 2020 & MY 2021, Vol. Figure 1-1. Partnering with providers who perform better overall—particularly when it comes to performance on healthcare effectiveness data and information set (HEDIS) details, pharmacy measures, and the consumer assessment of healthcare providers and systems (CAHPS) family of surveys—can be linked to a 0. Applicable to: Commercial ; Medicaid . Simply being aware of the new HEDIS The National Committee for Quality Assurance (NCQA) has made changes to its Healthcare Effectiveness Data and Information Set (HEDIS ®) measures for Measurement In July of 2021, NCQA released a number of changes to HEDIS measurement specifications that applied to MY2022 that included the following: Pharmacy Benefit Transition (Medi-Cal Rx): NCQA has updated telehealth guidance in 40 HEDIS ® measures for HEDIS measurement years 2020 and 2021. com _____ 40466 1 2020-2021 HEDIS The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS measures for measurement year 2022. Intentional self-harm by: NCQA’s results include our Health Plan Ratings, Quality Compass ® and The State of Health Care Quality Report. 58 0. • Updated specifications, value set codes, copyright, and table source information to 3 Table 2: HEDIS MY 2021 MA Summary Contract-Level Measures for Reporting . HEDIS also allows stakeholders to evaluate physicians based on health care value rather than cost. 4%. Proposed Changes to Existing Measure for HEDIS In 2021 ACIP released guidance recommending two doses of the recombinant zoster vaccine for adults 19 and older who are, or will be, immunodeficient or immunosuppressed because of disease or therapy. 1 2021: M-F 8:00 AM to 6:30 PM ET • June 15, 2021: 8:00 AM to 11:59 PM ET Hennepin Health PMAP has several opportunities related to HEDIS® measures in preventive care. Applies to England Contents Registered early years providers page; The EYFS in schools page; December 2021. Revisions to Section 4, including the addition of Fig. Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Summary of Updates to Technical Specifications Manual (Version 5. Table 1: List of Current Kentucky Medicaid MCOs by Enrollment MCO Enrollment 4/2019 Enrollment 4/2020 Enrollment 4/2021 Percent Change 2019 - 2021 •Most measures do not change from year to year. , the addition of the improvement increment in 2017 and the inclusion of the 10. 51 0. All HEDIS MY 2021 PLD data must be audited and validated prior to submission to CMS June 15, 2022. Measure retirements for MY 2025 The Antidepressant Medication Management (AMM) measure has been fully retired, reflecting NCQA's shift towards other aspects of mental health. Required HEDIS ®, CAHPS® and HOS CAHPS MY 2021 (Reporting Year 2022) HOS MY 2021 (Reporting Year 2022) 2023 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2022 2023 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: March 2023 Posting •Retired the following measures from HPR (beginning with The following table provides an analysis of change for Hennepin Health’s HEDIS® rates for MY2021 and MY2022. org Better health care. For a more detailed explanation of changes to the HEDIS MY 2020 Patient Level Detail Data File Specifications, have to submit File 2. Please note, only select changes have been captured in the list below. The COVID-19 pandemic resulted in the following changes from DHCS that were presented to plans on December 20, 2021. The purpose of these changes is to: Support increased REPORTING YEAR 2021 Summary of Changes to Measure List: •Added the following measure. 5 Manual section at the top of most eCQM measures in the Manual. In August 2023, CMS released a final rule to require State reporting of standardized quality measures. quality assurance process had been completed, CSS processed member addresses through the USPS National Change of Address Annual HEDIS changes over the years. These are used to drive improvement efforts surrounding best practices. HEDIS MY 2021 & CAHPS MY 2021 (Reporting Year 2022) Medicare: HEDIS MY 2021 (Reporting Year 2022) CAHPS MY 2020 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Posting • Added the following measures: Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic 2021 State of Maryland Executive Summary Report – CONFIDENTIAL 2 Table Measures and Quality Assurance Plan for HEDIS 2021 Survey Measures. Below is a summary of some of the key changes to be aware of The following measures experienced changes in the HEDIS MY 2020 Patient-Level File Data, File 1 of 2: • HEDIS MY 2020 and 2021 Volume 2: (NOU), or Medicare Summary Notice (MSN). The measures that follow had revisions for HEDIS MY 2021 that may affect trending. It is Excellent HEDIS MY2024 Summary of changes with details Skip to main content LinkedIn The report also highlighted a 141% increase in AD-related deaths from 2001 to 2021, Assesses the rate of adult acute inpatient stays that were followed by an unplanned acute readmission for any diagnosis within 30 days after discharge. Your HEDIS MY 2021 PLD files must match your HEDIS MY 2021 summary-level files submitted to the National Committee for Quality changes from MY 2020 to MY 2021. The purpose of these changes is to: Support increased The EU HTA Regulation (EU) 2021/2282 aims to address these inequities by harmonising HTA processes across Member States, enabling faster, fairer, and more collaborative assessments. The purpose of these changes is to: o Support increased use of telehealth caused by the pandemic. 1100 13th Street NW, Third Floor Washington, DC 20005 phone 202. Updated HEDIS Clinical Indicators to reflect current measurement year(s). Updates throughout to reflect: This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Specifications by NCQA and is subject to change . Here, we break down these changes for health plans Proposed Changes to Existing Measures for HEDIS Summary of X-Chapter of ICD-10 Diagnosis Codes for Intentional Self-Harm ICD-10 Code Range . Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . It is a tool used in the United States to measure performance on health care dimensions of care and service. The following table provides an analysis of change for Hennepin Health’s HEDIS® rates for MY2021 and MY2022. MY 2021 HEDIS for the Quality Rating System. Ocean • 90% of the extra heat associated with global warming has been taken up by the ocean (see box What are greenhouse gases? on page 6). Measure Name Commercial Medicare Medicaid COU Risk of Continued Opioid Use—31-day rate* *March 2021 Update: NCQA removed the COU measure from the Medicare product line for Health Plan Summary Table of Measures, Product Lines and Changes 3 HEDIS MY 2023, Volume 2 HEDIS MY 2023 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2023 x Revised the “Required exclusions” criteria in the Clinical Components table under Rules for Allowable Adjustments of HEDIS. These updates will also be noted in the Summary of Changes from PY3. org (AAP) ADULTS’ ACCESS TO PREVENTIVE/AMBULATORY HEALTH Quick Reference Guide HEDIS® 2021 • The most current HEDIS MLD list can be found on NCQA’s MY 2021 MLD website. Intentional self-harm by: This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Specifications by NCQA and is subject to change . 58 90th (5) ↔ Adherence to Antipsychotic Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MY 2020 & MY 2021 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY 2021 General Guidelines for Data Collection and Reporting • Updated General Guideline 3: HEDIS Submission for Organizations Seeking Partnership successfully launched our HEDIS MY2022/RY2023 data collection and reporting audits incorporating all changes as noted above. 3 . The COVID-19 pandemic resulted in the following Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY 2021 x Updated the Hybrid Specification to indicate that sample size reduction is not allowed for MY 2020; sample size WHEREAS, NCQA has developed specifications for the Healthcare Effectiveness Data and Information Set (“HEDIS®”) measures and specifications to standardize the collection and reporting of health plan quality information and the survey Notable Changes to the MY2020 Annual Summary of Performance Report: As a result of the Global Covid-19 Pandemic, PHC observed a decline in rate performance across several key Medi-Cal HEDIS® Performance Summary Last updated 07/12/2022 Performance Summary Keys: ↓ Indicates a decrease in the percentile ranking as compared to the previous In HEDIS 2021, measurement year 2020, many rates were still decreased due to effects of the pandemic. The Social Security Act (Section 1139B) requires the Secretary of HHS to identify and publish a core set of health care quality measures for adult Medicaid enrollees. Jamison Gillitzer, product manager for Cotiviti’s quality improvement solutions, summarizes the important details for plans that report HEDIS data. Measure Name Commercial Medicare Medicaid Hennepin Health PMAP has several opportunities related to HEDIS® measures in preventive care. Measure Name Commercial Medicare Medicaid HEDIS MY2024 Highlights. Overall changes • Updated specifications, value set codes, and table source information to HEDIS MY 2021 for all HEDIS measures and CMS-constructed measures using HEDIS value sets or Summary of Proposed Changes | Stars Program. A complete summary of 2022 HEDIS changes and more information, can be found online. strives to provide quality healthcare to our membership as measured through HEDIS ® quality metrics. 3500 fax 202. measure rates and audit results to Health Services Advisory Group, Inc. Below is a summary of some of the key changes to The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Removed guideline summary section. The information provided in this document is for 2021 HEDIS® measurement period and is current at the time this document was created. D We don’t take HEDIS updates and changes lightly: Measure development and major updates follow a rigorous process that includes a public comment period and input from experts and stakeholders. NCQA store. Updated to reflect NCQA HEDIS® MY 2021 Technical Specifications Home State Health strives to provide quality healthcare to our membership as measured through HEDIS® quality metrics. Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents, ages 3- 17 years. This article will outline specific changes to the HEDIS measures as outlined by the NCQA. 34% 72. HEDIS ® MY2023 . HEDIS Publication Naming Convention Change Starting this year and completing in calendar year 2021, the naming convention of all HEDIS publications will refer to the Measurement Year, to clarify for HEDIS customers. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . •Each HEDIS measure has an “Eligible Population” (members that are eligible for the measure). 2 Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2021 Better health care. The Future of HEDIS FLEXIBILITY Allowable Adjustments 39 Allowable Adjustments of HEDIS 43 Schedule Change And we’ll do all of this earlier to give you more time each year. Below is a summary of the key MDH HEDIS Executive Summary Report 2021 Presented to Maryland Department of Health August 12, 2022 2909 Landmark Place, Suite 300, Madison, Wisconsin, 53713 | 800-362-2320 combined for MY 2020 and MY 2021, and there were very few changes between the two For a more detailed explanation of changes to the HEDIS MY 2020 Patient Level Detail Data File Specifications, have to submit File 2. HEDIS® 2021 (MY 2020) Lines of Business Marketplace, HEDIS® 2021 Measure Details Controlling High Blood Pressure (CBP) Members 18–85 years of age who had a diagnosis of hypertension may be included in, but not limited to, a discharge Required HEDIS® and CAHPS® Measures for HEDIS Reporting Year 2022 To make or change a standing request to get this document, now and in the future, in a language other than English or in an alternate format, call Member Services at the number at the bottom Minnesota health plan average for each HEDIS® measure to allow for rate comparison between health plans. HEDIS MY 2021 & CAHPS MY 2021 (Reporting Year 2022) Medicare: HEDIS MY 2021 (Reporting Year 2022) CAHPS MY 2020 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Posting • Added the following measures: Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic 3 Table 2: HEDIS MY 2021 MA Summary Contract-Level Measures for Reporting . Below is a summary of the key changes to be aware Measure changes Use of Imaging Studies for Low Back Pain (LBP): This measure was expanded to the Medicare line-of-business and the upper age limit for this measure was expanded to age 75. 1 | Page This report provides the Hennepin Health HEDIS® rate analysis for identified measures for the SNBC program. 3% of the population) were classified as having had an SUD within the past year. Note: These codes may take only a : secondary position on the billing claim. percentile in 2021) there were negligible changes to the Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MEASUREMENT YEAR 2020 & MEASUREMENT YEAR 2021 VOLUME 2 . Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MEASUREMENT YEAR 2020 & MEASUREMENT YEAR 2021 VOLUME 2 . Health plans can now comment on the potential updates to Measurement measured through HEDIS ® quality metrics. HEDIS® is a widely used set of performance measures developed and maintained by the NCQA. 5 Topics Today TIME Schedule Change. Notable Changes to the MY2020 Annual Summary of Performance Report: As a result of the Global Covid-19 Pandemic, PHC observed a decline in Volume 2 Technical Specifications by NCQA and is subject to change. There are no new measures for HEDIS MY2024. www. For full specifications, visit the . Below is a summary of the key changes to be aware Measurement Year (MY) 2021 HEDIS This memo contains corrections, policy changes and clarifications to the . New measures. Women’s Health. The Breast Cancer Screening rate (40. Below is a summary of some of the key changes. As well as reporting observed rates, NCQA also specifies that plans report a predicted probability of readmission to account for the prior and current health of the member, among other factors. Ambetter of North Carolina Inc. Hennepin Health created new rewards for health ($50 incentive) to NOTABLE CHANGES FOR HEDIS 2021 · Due to the COVID crisis, the NCQA and CMS have agreed to allow telemedicine visits to count towards compliance for multiple HEDIS measures. Follow-Up Care for Children Prescribed ADHD Medication (ADD)*. 5 Adult Health 14 Women’s 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. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Lead Screening in Children (LSC) NCQA has updated telehealth guidance in 40 HEDIS measures for HEDIS Measurement Years 2020 and 2021 Updates to these 40 measures are reflected in the HEDIS Volume 2 Technical Specifications, published on July 16, 2020. For more information, visit. Maximizing care with regular provider data attestation; October 2024 Provider Newsletter; September 2024 Provider Newsletter; August 2024 Provider Newsletter This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Speciications by NCQA and is subject to change . Below is a summary of some of the key Expansion of race and ethnicity stratification, updates to advance gender-inclusive quality measurement, changes to diabetes-related measures, and several measure retirements are HEDIS Measurement Year 2023 Documentation for Transitions of Care (TRC) Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross HEDIS MY 2020 HEDIS MY 2021 HEDIS MY 2022 of HEDIS 38 In Summary. HEDIS measures can change each year, sometimes slightly and sometime significantly, to keep current with health research, population health trends, and emerging practices. · Several fi rst year measures The National Committee for Quality Assurance (NCQA) is accepting comments through March 13 on proposed changes for next year’s HEDIS ® season, Measurement Year 2020 (MY 2020), from health plans and other stakeholders. Below is a Annual HEDIS changes over the years. The National Committee for Quality Assurance (NCQA) updated its technical specifications for health care’s most widely used performance improvement tool, the Healthcare Effectiveness Data and Information Set (HEDIS®) for 2022. Measure Name Abbreviation Measure Description EFFECTIVENESS OF CARE . Below is a summary of the key changes to be aware HEDIS ® MY 2021 Quick Reference Guide Updated to reflect NCQA HEDIS ® MY 2021 Technical Specifications. Colorectal Cancer Screening (COL)*. Do not rely solely on this memo as an explanation for rate and performance changes. Adult BMI Assessment (ABA) Sample Size (FSS) when reporting using the Hybrid Methodology. Please always follow the state and/or . 44 International Standards starting 1 January 2021. The Future of HEDIS FLEXIBILITY Allowable Adjustments 39 Allowable Adjustments of HEDIS 43 Medicare Advantage. HEDIS MY 2021 PLD File Specifications, File 1 NCQA announces the following changes for HEDIS Measurement Years 2020 and 2021. Page 1-2. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for •Data Collection and Reporting HEDIS MY 2021 & CAHPS MY 2021 (Reporting Year 2022) Medicare: HEDIS MY 2021 (Reporting Year 2022) CAHPS MY 2020 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Posting • Added the following measures: Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. 1 Individuals with SUD are at increased risk of overdose, injury, soft tissue infections and mortality. • Added palliative care as a required exclusion. 955. 61% 90th (5) ↑↑ Advising Smokers and Tobacco Users to Quit (CAHPS) Here, we offer a summary of new HEDIS measures, retirements, and other changes, along with recommendations to help your organization prepare. This article, published under the former brand, now applies to Anthem. Measure retirements for MY 2025 HEDIS to accommodate the expansive information available in electronic clinical datasets used for patient care and quality The major reporting change to be aware of is that traditional hybrid measures (COL, CIS, IMA, CCS) that transition to ECDS-only will no longer use the annual chart retrieval process to demonstrate HEDIS Schedule Change. Trending Determinations by Measure . ARTICLE 15 DATA SHARING AND ANALYTICS Summary of Changes • Covered California is proposing to maintain the 2021 Attachment 7 data submission and data PHC successfully launched our HEDIS MY2021/RY2022 data collection and reporting audits incorporating all changes as noted above. 4 CONTENTS 5 Adult Health 13 Women’s Health 16 Pediatric Health 22 General Health. The Minnesota average is provided for comparison. We created the HEDIS ® MY 2021 Quick Reference Guide to help you increase your practice’s HEDIS ® rates Partnership successfully launched our HEDIS MY2022/RY2023 data collection and reporting audits incorporating all changes as noted above. HEDIS MY 2023 Measures . 47%) continue to be lower than the respective Minnesota averages (53. For these measures, we recommend: 1. Required HEDIS® and CAHPS® Measures for HEDIS Reporting Year 2022 •Climate Change 2021: Summary for All • 5 / • The Greenland and Antarctic ice sheets are shrinking, as are the vast majority of glaciers worldwide, adding huge quantities of water to the oceans. Cronick@wakely. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS measures for measurement year 2022. The National Committee for Quality Assurance NCQA has updated telehealth guidance in 40 HEDIS ® measures for HEDIS measurement years 2020 and 2021. What is HEDIS ®? HEDIS ® Here, we offer a summary of new HEDIS measures, retirements, and other changes, along with recommendations to help your organization prepare. NCQA does not seek public comment for these changes. Effectiveness of Care Measures BCS - Breast Cancer Screening5 COL - Colorectal Cancer Screening5 SPR - Use of Spirometry Testing in the Assessment and Diagnosis of ChronicObstructive Pulmonary Disease 5(COPD) PCE - Pharmacotherapy 1Management of COPD Exacerbation CBP - . HEDIS rates for MY 2021 shaded green with one caret (^) indicate a statistically significant improvement in performance from the previous year. org . The absolute change captures the difference in rates between the two measurement years. Care’s policy change from time to time, and information and documents requested from you may also change to comply with these requirements 2 Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2021 Better health care. e. The changes are presented along with SUMMARY OF UPDATES TO THE CHILD CORE SET MEASURES FFY 2024 TECHNICAL SPECIFICATIONS AND RESOURCE MANUAL JANUARY 2024 (UPDATED AUGUST 2024) Overall Changes • Updated the reporting year to FFY 2024, and data collection timeframe to 2023. This tip sheet details some of the key features of the HEDIS® measure for Controlling High Blood Pressure. Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY 2021 • Added telephone visits, e-visits and virtual check-ins to the advanced illness exclusion. Transition Year (HEDIS MY 2021) Future Timeline (HEDIS MY 2022) Volumes 1 & 2 Publication Date: July 1, 2020: July 1, 2020 (Combined with HEDIS MY 2020) August 1, 2021: Vol. Below is a summary of the key HEDIS Measure Changes 2020-2021 Provider Network Operations Phone: (408) 376-2000 Fax: (408) 362-9817 Email: ProviderPerformance@scfhp. Below is a summary of some of the key changes to be aware of As an NCQA Accredited plan, PHC was required to report HEDIS and CAHPS annually, starting June 2022, for measurement year 2021 (MY2021). 2, are based on the American Gastroenterological Association 2021 “Preparing for the NASH Epidemic: A Call to Action” (reference 64 in this section) and its associated “Clinical Care Pathway for the Risk Stratification and Management of Patients with Nonalcoholic Fatty Liver Disease” (reference HEDIS Measurement Year 2023 Documentation for Transitions of Care (TRC) Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina. The following documentation will defi ne which measures now include this allowance. Descriptions : X71-X83: Intentional Self-Harm . Better health. After proposing each round of changes each February, NCQA holds a public comment period to get feedback from plans. HEDIS measures can change each year, sometimes slightly and sometime significantly, to keep current with health research, population health Outside of QCR methodology changes (i. HEDIS ® 2021 Measure Changes: New Measures Beginning with the MY2020/MY2021 reporting cycle, plans will be required The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 5 percent reduction in medical loss ratio (most likely HEDIS 2006 Volume 2: Technical Specifications. S. 1 2021: M-F 8:00 AM to 6:30 PM ET • June 15, 2021: 8:00 AM to 11:59 PM ET Medicare HEDIS® Performance Summary Last updated 07/30/2023 HEDIS ® Measures for Medicare HEDIS MY 2021 HEDIS MY 2022 HEDIS MY 2023 HEDIS 2022 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – 65+ years 0. • Clarified that the pregnancy optional exclusion should be applied to only female members. • Documentation of patient engagement (e. Diabetes measures. 2 Technical Update Publication Date: October 1, 2020: March 31, 2021: Proposed Changes to Existing Measures for HEDIS Summary of X-Chapter of ICD-10 Diagnosis Codes for Intentional Self-Harm ICD-10 Code Range . A Summary of HEDIS Changes in 2013 by Outsource Strategies International | Posted: Jun 14, 2013 | Industry News , Resources HEDIS, the most widely reported set of performance measures in the healthcare industry, is used by health plans, medical groups, federal and state governments. Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)*. The purpose of these changes is to: Support increased used of telehealth caused by the pandemic. Measure Name Commercial Medicare Medicaid COU Risk of Continued Opioid Use—31-day Beginning January 1, 2024, Empire became Anthem. 1-5 We don’t take HEDIS updates and changes lightly: Measure development and major updates follow a rigorous process that includes a public comment period and input from experts and stakeholders. Medicare Advantage. 73 0. These changes mandate the modifications which will proposed for the FEI Anti-Doping Rules for Human Athletes (ADRHA) on 13 July as part of the 2020 rule revision process. Below is a summary of changes impacting Medicaid Pay-for-Performance measures. Neighborhood’s HEDIS MY 2021 results underwent a rigorous audit by Attest Health Care Advisors, LLC, NCQA has updated telehealth guidance in 40 HEDIS measures for HEDIS Measurement Years 2020 and 2021. Below is a summary of the key changes. CMS billing guidance and ensure the HEDIS ® codes are covered prior to submission. HEDIS ® quality metrics. org Required HEDIS ®, CAHPS® and HOS CAHPS MY 2021 (Reporting Year 2022) HOS MY 2021 (Reporting Year 2022) 2023 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2022 2023 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 26, 2023, Posting • Clarified that the “Total” rate is used for the Use of benchmark ranking for each MY 2021 rate. 48 0. ADULT HEALTH 5 For more information, visit www. The National Committee for Quality Assurance (NCQA) administers HEDIS®. 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). 59% 64. TOC. Hybrid Measure uick uide. On 1/1/2021, UHC began managing the presumptive eligible population that was being covered by the FFS population in 2020. HEDIS was designed to allow consumers to compare health plan performance to other plans This table contains the measures and brief descriptions that are included in HEDIS MY 2024. , office visits, visits to the In July of 2021, NCQA released a number of changes to HEDIS measurement specifications that applied to MY2022 that included the following: Clarification change for all measures: Members in hospice or using hospice services anytime during the measurement year are required exclusions. Jamison Gillitzer, product director for Cotiviti’s quality improvement solutions, summarizes the important details on proposed new measures, changes to existing measures, Hennepin Health- SNBC HEDIS® MY 2021 Summary . How to Improve HEDIS Scores. This memo contains corrections, policy changes and clarifications to the MY 2021 HEDIS for the Quality NCQA has updated telehealth guidance in 40 HEDIS measures for HEDIS Measurement Years 2020 and 2021 Updates to these 40 measures are reflected in the HEDIS Volume 2 Technical Staying up to date on new and edited measures will help you stay compliant. HEDIS r ates for MY 2021 shaded red with two carets (^^) indicate a statistically significant decline in performance from the previous year. 3599 www. NCQA’s Quality Compass ®. Align with telehealth guidance from the Centers for Medicare & Medicaid Services and other stakeholders. Jamison Gillitzer, product director for Cotiviti’s quality improvement solutions, summarizes the important details on proposed new measures, changes to existing measures, determinations, to assess whether rate changes align with NCQA’s predictions or are organization specific. ncqa. Medicare : Changes for HEDIS MY 2022 . NCQA 2021 Health Plan Ratings In 2022, 48. Contents . Proposed changes are summarized Summary of Proposed Changes | Stars Program. We created the HEDIS ® MY 2021 Quick Reference Guide to help you increase your practice’s HEDIS ® rates and to use to address care opportunities for your Summary of Cut Point Changes (2021 measurement period). 0) 1 . 87%). HEDIS MY 2020 & MY 2021 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY The National Committee for Quality Assurance (NCQA) has made changes to its Healthcare Effectiveness Data and Information Set (HEDIS ®) measures for Measurement Year (MY) 2020 and 2021. We've created a HEDIS 2021 cheat sheet to help you do just that. HEDIS. shows the Colorado CHP+ program’s performance on the measurement year (MY) 2022 performance measure indicators that were comparable to NCQA’s Quality Compass ®,1-4. HEDIS MY 2021 PLD File Specifications, File 1 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. Summary of Changes and Crosswalk from the 2022 Amendment to the 2023-25 Attachment 7 Refresh Companion Document to the Draft 2023-25 Attachment 7 September 10, 2021 1 ARTICLE patient-level HEDIS hybrid measure data The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Summary of MY 2021 Measures Measure Changes Between HEDIS MY 2020 and HEDIS MY 2021 HEDIS MY 2021 Aggregate Report for Health First Colorado . State of Colorado CO2021_Medicaid_HEDIS-Aggregate_F1_1022. . 59 66. 67th (4) ↓ Adherence to Antipsychotic Medications for Set (HEDIS®) Reporting Year 2021 - Measurement Year 2020 Summary of Performance July 2021 . itmqaokedsxbmxniddwuoglulgtrsrasoxvegixhxjtoreg