HEDIS In Action

The stars have it. And by "it"—I mean Healthcare Effectiveness and Data Information Set (HEDIS) reporting. The National Committee for Quality Assurance (NCQA) recently released its 2024 Health Plan Ratings, which evaluated over 1,000 commercial, Medicare, and Medicaid plans based on patient experience and clinical quality (see Five Health Plans Earn Five-Star Ratings From NCQA).

Of the 1,019 health plans assessed, only five received the highest rating of five stars. Two were Kaiser Permanente plans: its commercial plan available in the mid-Atlantic states area (Baltimore, suburban Maryland, Northern Virginia, and Washington, D.C.) and its . . .