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.