What is the primary goal of HEDIS compliance?

The primary goal of HEDIS compliance is to improve patient health outcomes. HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA). These measures focus on the quality of care that patients receive, encompassing various aspects of healthcare such as preventive services, chronic disease management, and patient safety.

By assessing and reporting on these measures, HEDIS aims to provide actionable insights that can lead to enhancements in the quality of care delivered to patients. This results in better health outcomes, as healthcare providers and organizations can identify areas for improvement and implement strategies to address them.

While minimizing healthcare costs, tracking insurance claims, and enhancing healthcare accessibility are important aspects of the healthcare system, they are not the primary focus of HEDIS compliance. Instead, the ultimate aim is to ensure that patients receive high-quality care that leads to superior health outcomes.