NCQA Report Not Just About HEDIS Any More, Doctor

Autumn at the National Committee for Quality Assurance means the annual release of its State of Managed Care Quality report, which highlights HEDIS data for commercial health plans. This year's incarnation, however, adds data qualifying the performance of physicians and of Medicare and Medicaid plans.

The renamed State of Health Care Quality report is, at best, a toe in the water for reporting physician performance, but it's indicative of the trend of persuading doctors to embrace evidence-based care. NCQA rates physician care on a single disease, diabetes, based on data doctors voluntarily submit to a joint NCQA/American Diabetes Association program.

As for HEDIS, NCQA notes that 13 percent of commercial plans universally prescribe beta blockers to members who survive heart attacks, and that varicella vaccination rates are up 19 percent since 1999. But there is still variability within plans and between regions. Average performance on a few clinical issues, such as managing antidepressants, declined.

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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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