2021 HEDIS® Results – Medicare HMO
| HEDIS Accreditation Measure for Medicare | Description | Final HEDIS | Final HEDIS | HEDIS |
| Breast Cancer Screening | The percentage of women 50 to 74 years of age who had a mammogram to screen for breast cancer. | 64.32% | 68.43% | 68.23% |
| Colorectal Cancer Screening | The percentage of members 50 to 75 years of age who had appropriate screening for colorectal cancer. | 58.2% | 67.85% | 67.27% |
| Comprehensive Diabetes Care Eye Exam | The percentage of members 18 to 75 years of age who had an eye screening for diabetic retinal disease and includes one of the following: a retinal or dilated eye exam by an eye care professional (optometrist or ophthalmologist) in the measurement year or a negative retinal or dilated eye exam (negative for retinopathy) by an eye care professional in the year prior to the measurement year. | 49.73% | 63.99% | 65.12% |
| Comprehensive Diabetes Care HbA1c Poor Control (>9.0 percent; Lower is Better) | The percentage of members 18 to 75 years of age whose last HbA1c test had a result of >9.0 percent during the measurement year. | 27.03% | 24.33% | 25.47% |
| Comprehensive Diabetes Care HbA1c Testing | The percentage of members 18 to 75 years of age who had an HbA1c test performed during the measurement year. | 89.19% | 93.43% | 89.43% |
| Comprehensive Diabetes Care Medical Attention for Nephropathy | The percentage of members 18 to 75 years of age who had a screening or monitoring test during the measurement year. | 93.37% | 95.86% | 94.6% |
| Controlling High Blood Pressure (Total Rate) | The percentage of members 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled during the measurement year. | 59.12% | 55.96% | 59.49% |
| Flu Shots for Older Adults | The percentage of members 65 years of age and older who received an influenza vaccination between July 1 of the measurement year and the date when the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey was completed. | 72.0% | 74.8% | ND |
| Follow-Up After Hospitalization for Mental Illness (Seven-Day Rate) | The percentage of discharges for members six years of age and older (hospitalized for specified mental illnesses) who had a follow-up visit with a mental health provider within seven days of discharge. | 34.78% | 28.57% | 24.45% |
| Medical Assistance With Smoking Cessation (Advising Smokers to Quit) | The percentage of members 18 years of age and older who currently smoke and responded via survey that they received advice from a doctor about quitting during the measurement year. | 84.4% | 83.9% | ND |
| Persistence of Beta-Blocker Treatment After a Heart Attack | The percentage of members 18 years of age and older during the measurement year who were hospitalized and discharged from July 1 of the year prior to the measurement year to June 30 of the measurement year with a diagnosis of acute myocardial infarction (AMI)/heart attack and who received persistent beta-blocker treatment for six months after discharge. | 80.65% | 96.67% | 89.02% |
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
CAHPS® is a registered trademark of the Agency of Healthcare Research and Quality.
An Independent Licensee of the Blue Cross Blue Shield Association.