NCQA Reports Decline In Health Plan Performance On Two Behavioral Health Quality Measures

Newly released National Committee for Quality Assurance (NCQA) health plan data shows an overall performance decline on behavioral health quality measures between 2012 and 2013. Of the two measures for behavioral health quality measured by the NCQA Healthcare Effectiveness Data and Information Set (HEDIS), one showed a decline and the other showed no improvement from the prior year.

The HEDIS performance measures are reported by commercial and Medicare health maintenance organizations (HMO) and preferred provider organizations (PPO) and Medicaid HMOs. For 2012 and 2013, health plans reported on the following behavioral health HEDIS measures:

The timeliness of community-based outpatient . . .