Which organization develops HEDIS measures?

Which organization develops HEDIS measures?

• A. CMS
• B. FDA
• C. AMA
• D. NCQA

Answer: (D)

HEDIS measures are developed by the National Committee for Quality Assurance (NCQA), a nonprofit focused on improving health care quality. HEDIS, short for Healthcare Effectiveness Data and Information Set, is NCQA’s standardized collection of performance measures that health plans use to assess and report on care quality and patient outcomes. This framework lets consumers, employers, and regulators compare plan performance using consistent data across domains like effectiveness of care, access, and patient experience. The Centers for Medicare and Medicaid Services (CMS) administers government programs but does not develop HEDIS; the FDA focuses on drug and device safety and approval; and the AMA is a professional association, not a standard-setter for HEDIS.

HEDIS measures are developed by the National Committee for Quality Assurance (NCQA), a nonprofit focused on improving health care quality. HEDIS, short for Healthcare Effectiveness Data and Information Set, is NCQA’s standardized collection of performance measures that health plans use to assess and report on care quality and patient outcomes. This framework lets consumers, employers, and regulators compare plan performance using consistent data across domains like effectiveness of care, access, and patient experience. The Centers for Medicare and Medicaid Services (CMS) administers government programs but does not develop HEDIS; the FDA focuses on drug and device safety and approval; and the AMA is a professional association, not a standard-setter for HEDIS.