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HPA 2019 Public Comment

NCQA seeks public comment on the proposed product updates listed below. Reviewers are asked to submit their comments in writing via NCQA’s public comment website by 5:00 p.m. (EST) on Friday, December 15, 2017.

2019 Health Plan Accreditation Update

NCQA is releasing proposed changes to the Healthcare Effectiveness Data and Information Set (HEDIS®) measures scored for Health Plan Accreditation (HPA) for the 2019 reporting year. The final list of measures for scoring in 2019 will be released on NCQA’s website in April 2018.

This public comment period is intended for comments on adding and retiring HEDIS measures for HPA. A second public comment period for updates to HPA standards will take place in March 2018. You are encouraged to provide thoughts and insight on the measure updates proposed for HPA. Review the questions below to guide your comments; they can also be found on the public comment website under Topics for HEDIS Measures for Addition to Health Plan Accreditation for scoring in 2019 or HEDIS Measures for Removal from Health Plan Accreditation for Scoring in 2019.

HEDIS Measures for Addition to Health Plan Accreditation for Scoring in 2019

1.   Should NCQA include the following measures for the commercial product line?

a.   Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM).

b.   Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP).

 

2.   Should NCQA include the following indicator for the commercial product line?

a.   Prenatal and Postpartum Care (PPC)—Timeliness of Prenatal Care Rate.

3.   General Feedback

a.   Should NCQA include any other HEDIS/CAHPS measures for HPA scoring in reporting year 2019? If yes, which measures should be included for which product lines, and why?

 

HEDIS Measures for Removal from Health Plan Accreditation for Scoring in 2019

1.   Should NCQA remove the following measure for the commercial and Medicare product lines?

a.     Persistence of Beta-Blocker Treatment After a Heart Attack (PBH).

2.   Should NCQA remove the following indicators from the commercial product line?

a.   Antidepressant Medication Management (AMM)—Acute Phase Rate.

b.   Follow-Up for Children Prescribed ADHD Medication (ADD)—Initiation Phase Rate.

c.   Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET)—Initiation Rate.

d.   Statin Therapy for Patients With Cardiovascular Disease (SPC)—Received Statin Therapy Rate.

e.   Statin Therapy for Patients With Diabetes (SPD)—Received Statin Therapy Rate.

f.    Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)—Counseling for Physical Activity and Counseling for Nutrition Rates.

3.   Should NCQA remove the following indicators for the Medicare product line?

a.   Antidepressant Medication Management (AMM)—Acute Phase Rate.

b.   Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET)—Initiation Rate.

c.   Statin Therapy for Patients With Cardiovascular Disease (SPC)—Received Statin Therapy Rate.

d.   Statin Therapy for Patients With Diabetes (SPD)—Received Statin Therapy Rate.

4.   Should NCQA remove the following indicators for the Medicaid product line?

a.   Antidepressant Medication Management (AMM)—Acute Phase Rate.

b.   Follow-Up for Children Prescribed ADHD Medication (ADD)—Initiation Phase Rate.

c.   Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET)—Initiation Rate.

d.   Statin Therapy for Patients With Cardiovascular Disease (SPC)—Received Statin Therapy Rate.

e.   Statin Therapy for Patients With Diabetes (SPD)—Received Statin Therapy Rate.

f.    Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)—Counseling for Physical Activity and Counseling for Nutrition Rates.

5.   General Feedback

a.   Should NCQA remove any other HEDIS/CAHPS measures for HPA scoring in reporting year 2019? If yes, which measures should be removed for which product lines, and why?

For an overview on the measures and the full list of proposed measures for scoring, see:

About Public Comment

The public comment system is integrated with NCQA’s single-sign on platform. If you have access to any of the systems listed below, you can use the same credentials to login and submit comments:

  • Interactive Data Submission System (IDSS).
  • Health Organization Questionnaire (HOQ).
  • Download Center.
  • Recognition Program Online Application.
  • Quality Compass (QC).
  • Policy/Program Clarification Support (PCS).

Note: Using the Forgot Password feature changes your password for all NCQA systems to which you have access.

If you do not have access to any system listed, click Create an Account and complete the entire form. Retain the password for your records.

Submitting Comments

Submit all comments through NCQA’s Public Comment website (http://publiccomments.ncqa.org). NCQA does not accept comments via mail, email or fax.

To enter comments:

1.  Go to the Public Comment database.

2.  Enter your email address and contact information.

3.  Click to select one of the following:

HEDIS Measures for Addition to Health Plan Accreditation for Scoring in 2019

HEDIS Measures for Removal from Health Plan Accreditation for Scoring in 2019

4.  Click the Instructions link to the view public comment materials including instructions, proposed specifications and measures.

5.  Select the Topic and Element (question) on which you would like to comment.

6.  Select your support option (Support, Do not support, Support with modifications).

If you choose Do not support, enter your rationale in the text box. If you choose Support with modifications, enter your suggested modification in the text box.

7.  Enter your comments in the Comments box.
Note:
There is a 2,500 character limit for each comment. Be concise. We suggest you develop your comments in Word to check your character limit, and save a copy for reference. Cut and paste your comment into the Comments box.

8.  To submit more than one comment, click Submit and Return. When you have submitted all comments, click Submit and Logout to receive an email notification with your submitted comments.

All comments are due Friday, December 15, by 5 p.m. ET.