2007 MCO Performance Measures

What performance measures are plans required to report? 

2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Commercial Health Plans

  • Adolescent Immunization Status (combination 2)
  • Antidepressant Medication Management (all 3 rates)
  • Appropriate Medications for People With Asthma
  • Appropriate Treatment for Children With Upper Respiratory Infection
  • Appropriate Testing for Children With Pharyngitis
  • Persistence of Beta-Blocker Treatment After a Heart Attack
  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Childhood Immunization Status (combination 2)
  • Cholesterol Management After Acute Cardiovascular Events (screening rate only)
  • Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
  • Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%) 
  • Controlling High Blood Pressure
  • Follow-Up After Hospitalization for Mental Illness (7-day rate only)
  • Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
  • Prenatal and Postpartum Care (both rates)
  • Claims Processing
  • Customer Service
  • Getting Care Quickly
  • Getting Needed Care
  • How Well Doctors Communicate
  • Rating of All Health Care
  • Rating of Health Plan
  • Rating of Personal Doctor
  • Rating of Specialist Seen Most Often

2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicare Health Plans

  • Antidepressant Medication Management (all 3 rates)
  • Persistence of Beta-Blocker Treatment After a Heart Attack
  • Breast Cancer Screening
  • Glaucoma Screening in Older Adults
  • Cholesterol Management After Acute Cardiovascular Events (screening rate only)
  • Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
  • Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%) 
  • Controlling High Blood Pressure
  • Flu Shots for Older Adults
  • Follow-Up After Hospitalization for Mental Illness (7-day rate only)
  • Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
  • Osteoporosis Management in Women Who Had a Fracture
  • Pneumonia Vaccination Status for Older Adults
  • Customer Service
  • Getting Care Quickly
  • Getting Needed Care
  • How Well Doctors Communicate
  • Rating of All Health Care
  • Rating of Health Plan
  • Rating of Personal Doctor
  • Rating of Specialist Seen Most Often

2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicaid Health Plans

  • Adolescent Immunization Status (combination 2)
  • Antidepressant Medication Management (all 3 rates)
  • Appropriate Medications for People With Asthma
  • Appropriate Treatment for Children With Upper Respiratory Infection
  • Appropriate Testing for Children With Pharyngitis
  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Childhood Immunization Status (combination 2)
  • Cholesterol Management After Acute Cardiovascular Events (screening rate only)
  • Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
  • Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%) 
  • Controlling High Blood Pressure
  • Follow-Up After Hospitalization for Mental Illness (7-day rate only)
  • Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
  • Prenatal and Postpartum Care (both rates)
  • Customer Service
  • Getting Care Quickly
  • Getting Needed Care
  • How Well Doctors Communicate
  • Rating of All Health Care
  • Rating of Health Plan
  • Rating of Personal Doctor
  • Rating of Specialist Seen Most Often


Health Plan Report Card

How does your Health Plan rate?

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