“HEDIS” is an acronym for the Healthcare Effectiveness Data and Information Set, which is a set of standardized measures designed by the National Committee for Quality Assurance (NCQA) to evaluate the performance of health plans. It allows for the assessment of health plans on the basis of quality and performance. Since its introduction in 1993, HEDIS has evolved to become the “gold standard” in managed care performance measurement.
AlohaCare is required to report the results of several HEDIS indicators annually to our State regulators, the Hawaii Department of Human Services (DHS), and our Federal regulators, the Center for Medicaid and Medicare Services (CMS). By measuring HEDIS indicators annually, we are able to evaluate our performance achievements, monitor our quality improvement efforts, and identify further opportunities for improvement in our health care delivery efforts.
- Introduction to HEDIS
- HEDIS Provider FAQs
Quality Improvement Program
AlohaCare's Quality Improvement Program focuses on high quality relationships with members and providers. We are committed to improving care and services for our members.
Click here to learn more.
Quality Improvement Incentive Program (P4P)
Click here to learn more about AlohaCare's 2015 Quality Improvement Incentive Program.