Changes Between HEDIS Measures List From 2022 to 2023

HEDIS, also known as the Healthcare Effectiveness Data and Information Set, comprises a set of performance measures utilized by health plans and healthcare organizations to evaluate the quality of care they deliver. These measures are updated annually to incorporate the most up-to-date evidence-based practices.

Here are several modifications between the HEDIS measures list for 2022 and 2023:

• Introduction of new measures: The HEDIS list for 2023 incorporates several fresh measures, encompassing preventive care, chronic disease management, and patient experience.

• Retirement of measures: Some measures have been retired from the HEDIS list for 2023, such as those related to childhood obesity and smoking cessation.

• Changes to existing measures: Certain existing measures have undergone alterations for 2023, including modifications to scoring criteria or the calculation methodology. The adjustments made to the HEDIS measures list hold significant importance as they ensure that health plans and healthcare organizations provide high-quality care. The newly introduced measures place emphasis on preventive care, chronic disease management, and patient experience, all of which are crucial aspects of healthcare. The retirement of certain measures indicates that they were no longer deemed important or were infrequently used by health plans. Changes to existing measures were implemented to enhance data accuracy and reliability. The modifications to the HEDIS measures list will have several implications for health plans and healthcare organizations. Health plans will need to update their quality improvement programs to align with the new measures, while healthcare organizations will be required to collect data on the new measures and report it to their respective health plans. Overall, the changes made to the HEDIS measures list represent a positive step towards enhancing the quality of care in the United States. The new measures ensure that health plans and healthcare organizations are delivering high-quality care to their patients.

Here are additional details regarding the changes to the HEDIS measures list for 2023 - New measures: The following are examples of the new measures added to the HEDIS list for 2023:

• Preventive care: New measures encompass cancer screening, cardiovascular risk assessment, and vaccination.

• Chronic disease management: New measures cover diabetes management, heart failure management, and asthma management.

• Patient experience: New measures focus on patient satisfaction with care, patient engagement in care, and patient safety. Retired measures: The following are examples of measures that have been retired from the HEDIS list for 2023:

• Childhood obesity: This measure was retired due to limited utilization of its data by health plans.

• Smoking cessation: This measure was retired due to limited utilization of its data by health plans.

Changes to existing measures: The following are examples of changes made to existing measures for 2023:

• Alterations in scoring criteria: For instance, the scoring criteria for the blood pressure control measure changed from a percentage to a numerical value.

• Changes in calculation methodology: The calculation method for the diabetes management measure was updated to reflect the latest evidence-based practices.

The changes introduced to the HEDIS measures list for 2023 represent a positive advancement towards improving the quality of care in the United States. The new measures ensure that health plans and healthcare organizations provide high-quality care to their patients.