Do I need to submit quality data to my local Blue Plan?
No, you don’t need to submit additional quality data to your local Blue Plan.
Established processes are already in place to collect and review quality information, including Healthcare Effectiveness Data and Information Set (HEDIS®) measures and CMS Hospital Compare (Care Compare) data. These national measures – developed and maintained by organizations such as NCQA, CMS, and HEDIS – are used to assess quality across providers and care settings.
Because this data is already collected through existing programs and reporting mechanisms, no additional data submission is required from you at this time.