Performance measures developed by NCQA and used to evaluate managed care plans are found in the:

The Healthcare Effectiveness Data and Information Set, commonly referred to as HEDIS, is a widely recognized set of performance measures used to evaluate the quality of health care provided by managed care plans. Developed by the National Committee for Quality Assurance (NCQA), HEDIS focuses on various dimensions of care and service, allowing for an objective assessment of managed care organizations based on specific quality indicators. This means that HEDIS covers performance metrics related to preventive services, patient satisfaction, and chronic disease management, among other areas.

As health insurers and providers use HEDIS scores to benchmark performance, these measures facilitate comparison between plans, helping consumers make informed choices about which health plans to select based on quality of care. Additionally, health plans often use HEDIS results to identify areas needing improvement, thereby enhancing overall health service delivery.

Other options, like the Managed Care Report Card and the Quality Improvement System for Managed Care (QISMC), play roles in related evaluations and quality improvement, but they are not the specific set of measures utilized in the same way as HEDIS. Accreditation standards refer more broadly to criteria for obtaining accreditation rather than specific performance measures. Thus, HEDIS stands out as the definitive set of measures employed for assessing the performance of