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Medicare Advantage plans’ quality measures face new changes
Modern Healthcare

The National Committee for Quality Assurance wants to revamp some of the quality measures the CMS uses to evaluate the services of Medicare Advantage plans, and it’s looking for public feedback on those changes.

The National Committee for Quality Assurance, a not-for-profit healthcare accreditor, wants to make several changes to the Healthcare Effectiveness Data and Information Set, or HEDIS, a long-standing measurement set that the organization helped develop and maintains for the CMS under a contract agreement. HEDIS is used by Medicare Advantage plans—and other health plans including commercial payers—to assess their performance. About 190 million people are enrolled in plans that report HEDIS results, according to the NCQA’s website.

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