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As the shift toward value-based care accelerates, the consequences of poor data quality become more severe. Star ratings, HEDIS scores and risk adjustment accuracy all depend on reliable clinical data. More importantly, accurate data enable better clinical decisions, reduce duplicate testing and help get patients into care programs faster.

The shift to digital-first quality measurement is underway. To stay in compliance and competitive, organizations must start preparing now. This blog offers a practical starting point for organizations ready to move beyond the basics and build a scalable, future-ready digital quality strategy.

As the healthcare industry rapidly evolves, so too does the way we measure its quality. For decades, health plans have relied on the traditional HEDIS submission process —manual chart abstraction, clinical review, and coding— to report on care quality.

Get familiar with common interoperability terms and how they relate to digital quality.

An introduction to implementing and maintaining a CQL engine for technical users.

NCQA is updating the format of the HEDIS Volume 2 publication for MY 2026 to support the transition to digital quality measurement.

Yana Ankudinova, Vice President, Product Management at MRO shares her insights on digital data quality and how health care organizations can go beyond just “managing” data to truly optimizing it for data exchange.

We are pleased to announce the inaugural cohort for the Bulk FHIR Quality Coalition: Cambia Health Solutions, MultiCare Connected Care and eHealth Exchange.

We’ve created a flexible transition plan so organizations that are prepared to adopt digital HEDIS can begin leveraging digital measures, while those needing more time can continue with traditional reporting methods until they are ready.

The evolution of HEDIS leverages available electronic health data to make quality measurement more accurate, actionable, timely and affordable. As we move toward a fully digital state, NCQA plans to phase out the hybrid reporting method by MY 2029.