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August 2019

HEDIS measure tip sheets updated for 2019

As part of our ongoing collaborative efforts with our participating physicians to improve health care quality, we’ve updated our HEDIS® measure tip sheets for 2019.

The tip sheets highlight specific measures that are included in the Healthcare Effectiveness and Data Information Set, commonly called HEDIS.** The 26 tip sheets cover areas as diverse as antidepressant medication management, avoidance of antibiotic treatment in adults with bronchitis and use of imaging studies for low back pain.

By focusing on evidence-based measures, including HEDIS measures, we can help prevent and control diseases and chronic conditions. According to the Centers for Disease Control and Prevention’s National Center for Chronic Disease Prevention and Health Promotion, 90% of the nation’s $3.3 trillion in annual health care expenditures are for people with chronic and mental health conditions.

Our HEDIS tip sheets are part of a portfolio of efforts launched over the past few years to give health care providers the tools they need to improve their performance on HEDIS measures. The tip sheets also support our Provider Recognition Program.

As you’ve read before, physicians who participate in the Physician Group Incentive Program can receive higher levels of reimbursement for meeting key HEDIS measures.

The tip sheets have been posted on both the BCBSM Provider Publications and Resources section of web-DENIS as well as on BCN Provider Publications and Resources. Here’s one way to access them:

  1. From the homepage of web-DENIS, click on BCBSM Provider Publications and Resources in the left column.
  2. Click on Newsletters & Resources.
  3. Click on Clinical Quality Corner on the left-hand side of the page under Other Resources.

**HEDIS® is a registered trademark of the National Committee for Quality Assurance, or NCQA.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.