NCQA Releases HEDIS Measures for ACOs

WASHINGTON, DC — Today the National Committee for Quality Assurance (NCQA) published HEDIS 2013 Technical Specifications for Accountable Care Organizations (ACO), detailed guidance that will help ACOs collect and report their quality performance in standardized ways.

NCQA has taken its years of experience with HEDIS for health plans and HEDIS for physicians to specify thirty five measures for ACOs that are precise and will ultimately allow for apples to apples comparisons, which should be valuable to payers and patients across the country. The technical specifications help ACOs define populations for ACO measurement, follow appropriate sampling and data collection methods and report ACO performance to NCQA. All ACOs are eligible to submit measure results, which will enable NCQA to create performance benchmarks and track ACO improvement over time. 

“We are excited to offer these technical specifications because they will provide a standardized method for evaluating an ACO’s performance,” said Mary Barton, NCQA Vice President of Performance Measurement. “Releasing these measure specifications is also an important step in making ACOs a functioning, vibrant part of American health care.” 

Technical Specifications for ACO Measures is the latest example in NCQA’s 22-year history of creating and maintaining provider quality measures. 
About ACO Accreditation NCQA’s ACO Accreditation program debuted in November 2011 and is a roadmap for provider-led organizations to demonstrate their ability to reach the triple aim: reduce cost, improve quality and enhance the patient experience. 

To maximize accreditation’s usefulness for a variety of ACOs and ACO partners, the NCQA program:
  • Aligns with many aspects of the Medicare Shared Savings Program 
  • Addresses expectations common among private purchasers 
  • Uses three levels of accreditation to signify differing levels of ACO readiness and capability.  
About NCQA

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.