News Details

NCQA Opens Public Comment Period on HEDIS Measures

The National Committee for Quality Assurance (NCQA) invites the public to comment on proposed changes to the Healthcare Effectiveness Data and Information Set (HEDIS).  There are new measures, changes to existing measures, and exclusions that apply across various HEDIS measures. 

This is an opportunity for health plans, purchasers, consumers, and other stakeholders to weigh in on the relevance, scientific soundness, and feasibility of new and revised measures.

Proposed Measure Retirements

  • Annual Dental Visit
  • Adult BMI Assessment
  • Medication Management for People With Asthma
  • Children and Adolescents’ Access to Primary Care Practitioners
  • Comprehensive Diabetes Care—Medical Attention for Nephropathy
  • Comprehensive Diabetes Care—HbA1c Control (<7.0%) for a Selected Population

Proposed New Measures

  • Cardiac Rehabilitation
  • Kidney Health Evaluation for Patients With Diabetes
  • Osteoporosis Screening in Older Women

Proposed Changes to Existing Measures

  • Well-Child Measures
  • Emergency Department Utilization
  • Use of High-Risk Medications in Older Adults
  • Transitions of Care
  • Controlling High Blood Pressure
  • Follow-Up After Hospitalization for Mental Illness
  • Adult Immunization Status
  • Unhealthy Alcohol Use Screening and Follow-Up
  • Depression Screening and Follow-Up Measures

Cross-Cutting Exclusion

  • Palliative Care

Additional Item

  • Health Plan Descriptive Measures

NCQA reviews all feedback submitted during the public comment period.

Reviewers are asked to submit comments by 11:59 p.m. ET, Friday, March 13, 2020.  Go to the NCQA website to submit comments.