Reports and Research

NCQA’s reports, research and learning collaboratives help identify ways to improve care and improve health. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA.

NCQA’s reports include our Health Plan Ratings, Quality Compass® and State of Health Care Quality Report.

NCQA conducts independent research and studies on behalf of organizations, foundations and government agencies on a variety of health care issues.

The Learning Collaboratives are a systematic approach to process improvement, working with stakeholders to accelerate learning and broader implementation of best practices.

Reports

NCQA’s reports include our Health Plan Ratings, Quality Compass® and State of Health Care Quality Report.

Accreditation Benchmarks and Thresholds Memo

This document reports national benchmarks and national and regional thresholds for HEDIS measures and HEDIS/CAHPS 5.0H survey results and will be used to score health plans for accreditation year 2018.

Read Benchmarks and Thresholds: 2018 Accreditation (updated 8.13.18)

NCQA’s Health Insurance Plan Ratings

NCQA’s annual Health Insurance Ratings include results from NCQA-Accredited and non-accredited health plans, based on plans’ combined HEDIS®, CAHPS® and accreditation standards scores.

Ratings are from 0–5, in 0.5 increments. This system is similar to the CMS Five-Star Quality Rating System.

Quality Compass®

NCQA’s Quality Compass® offers performance information on hundreds of commercial, Medicaid and Medicare health plans, as well as national, regional and state benchmarks. This online database provides up to three years of performance trends of HEDIS and CAHPS measures for publicly reporting plans.

Posted: Annually.

Use: Regional analysis, plan-level comparison, quality improvement.

Go to Quality Compass.®

State of Health Care Quality

This annual report contains national HEDIS and CAHPS scores. It is posted to NCQA’s website and includes performance trends over time.

View State of Health Care Quality.

Research

NCQA conducts independent research and studies behalf of organizations, foundations and government agencies on a variety of health care issues.

Serious Illness Care: Measures for Accountability

NCQA is conducting a project to develop performance measures for use in serious illness care accountability programs. The project is funded by the Gordon and Betty Moore Foundation.

Read Serious Illness Care: Measures for Accountability

Measuring What Matters Most

NCQA and seven organizations are examining a new way to measure outcomes in older adults that focuses on person-driven outcomes—outcomes identified by individuals (and caregivers) as important.

View Measuring What Matters Most to Older Adults

Goals to Care: How to Keep the Person in “Person-Centered”

Understanding what is most important to an individual is key to the concept of person-centered care. This report highlights in-the-field examples of keys to eliciting, understanding and attaining individual’s goals.

Read Goals to Care

Policy Approaches to Advancing Person-Centered Outcome Measurement

People with complex needs—such as older adults with multiple chronic conditions and functional limitations as well as persons with physical, intellectual or developmental disabilities—often require combinations of medical care, behavioral health care and long-term services and supports (LTSS). Better integration of these health care services can improve care, improve quality and reduce costs.

Read Policy Approaches to Advancing Person-Centered Outcome Measurement

Issue Brief – Quality of Child Health Care

Quality measurement can inform and encourage improvement in child health care. This issue brief proposes a measurement framework for comprehensive well-child care to capture a richer view of children’s health care and take a more efficient approach to data collection.

Read Quality of Child Health Care

Culturally and Linguistically Appropriate Services: Health Care Disparities

In this Multicultural Health Care Award program, NCQA explores strategies to tie cultural awareness into existing quality improvement efforts. This work is funded by The California Endowment and supported by CMS and The Office of Minority Health.

Read CLAS: Health Care Disparities

Improving Office Systems Leads to Better Care

Studies show improving office systems and procedures can improve quality and outcomes of health care. The Robert Wood Johnson Foundation supported NCQA with grants to better understand the role of practice systems for providing high-quality care in the primary care practice setting.

Read Practice Systems for Chronic Care

Accounting for Socioeconomic Status in HEDIS Measures

The Centers for Medicare & Medicaid Services commissioned NCQA to assess whether Medicare Advantage plans that enroll a disproportionate number of vulnerable members are systematically disadvantaged by programs that use performance measures to assess quality.

View Accounting for Socioeconomic Status in HEDIS Measures

Improving Chlamydia Screening

This 2007 report examines Chlamydia screening in managed care organizations in the prevention of sexually transmitted diseases.

Women’s Health: Approaches to Improving Unintended Pregnancy Rates in the United States

Contraception and reproductive health are important aspects of women’s health and of comprehensive, patient-centered care.

This issue brief summarizes the consensus of key opinion leaders whom NCQA convened, with support from Bayer, for a 2014 meeting on evidence-based approaches to reduce barriers to utilization of the most effective birth control methods.

Financial Conflict of Interest Information

This Policy addresses NCQA’s responsibility for ensuring objectivity in research in accordance with 42 CFR Part 50, Subpart F “Promoting Objectivity in Research,” and 45 CFR Part 94, “Responsible Prospective Contractors.”

Learning Collaboratives

National Collaborative for Innovation in Quality Measurement: Implementing and Improving (NCINQ)

This quality improvement project uses national HEDIS measures to encourage judicious use of antipsychotic medications and better depression management in youth.

View National Collaborative for Innovation in Quality Measurement

Digital Measures Collaborative

The Digital Measures Collaborative is a joint effort between NCQA and its stakeholders to redefine quality measurement and learn how to support programs that use electronic clinical data for quality improvement.

View Digital Measures Collaborative

Unhealthy Alcohol Use Screening and Follow-Up

With funding from SAMHSA, the Centers for Disease Control and Prevention (CDC) and FEi Systems, NCQA is working to improve the quality of care and health plan reporting of the Unhealthy Alcohol Use Screening and Follow Up measure through a Learning Collaborative.

View Unhealthy Alcohol Use Screening and Follow-Up

HEDIS Learning Collaborative

NCQA convened a learning collaborative to help develop an innovative method to report HEDIS measures using data from ECDS. We piloted this new method with a set of measures for depression care.

View HEDIS Learning Collaborative

HEDIS FAQ

Visitors to this page often check HEDIS FAQs or ask a question through MyNCQA.

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

CAHPS® is a registered trademark of the Agency for Healthcare Quality and Research (AHRQ).

  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.