The Healthcare Effectiveness Data and Information Set (HEDIS)

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 81 measures across five domains of care. 

Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis.

The state of California requires Anthem Blue Cross and our network physicians to comply with HEDIS initiatives and to report the results to the state. As a participating provider, you may be contacted by our Quality Management (QM) department to supply medical records for HEDIS reporting. Your cooperation in completing requested medical record reviews will help us communicate to the medical and consumer community our commitment to meeting the highest standards of care. 

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