Health Employer Data and Information Set. Letter to National Committee for Quality Assurance.

Nelson, Alan R., MD, MACP.

Specialties, Medical;Specialties, Medical, Internal Medicine;Utilization Review;Managed Care Programs;Health Care Evaluation Mechanisms;Practice Guidelines

Thu, 04/19/2001 - 1:24 PM EDT

Thu, 04/19/2001 - 1:27 PM EDT

4

health_employer_data_and_information_set_1996.pdf

{"Author":"Nelson, Alan R., MD, MACP.","Producer":"Acrobat 4.0 Scan Plug-in for Windows\u0000","Creator":"Acrobat 4.0 Capture Plug-in for Windows\u0000","Keywords":"Specialties, Medical;Specialties, Medical, Internal Medicine;Utilization Review;Managed Care Programs;Health Care Evaluation Mechanisms;Practice Guidelines","ModDate":"2001-04-19T13:27:21-04:00","Abstract":"The American Society of Internal Medicine (ASIM) is pleased that the National Committee for Quality Assurance (NCQA) continues to refine its Health Employer Data and Information Set (HEDIS) and that interested organizations have been invited to examine the proposed measures and offer feedback. We reiterate the four main principles that were made in our previous letter in response to NCQA's solicitation last January for proposed measures for inclusion in HEDIS 3.0: (I) participating physicians should be involved in development of health plan clinical and operational policies and procedures; (2) quality measures used to evaluate a physician should be those over which they have control; (3) a health plan's design should support prompt and appropriate access to specialty physicians; and (4) plans should report on their payment policies concerning withholds and bonuses to highlight any policies that may have an impact on quality of care. The first two principles have not been adequately addressed in HEDIS 3.0. However, we do acknowledge that NCQA is trying to address the third and fourth principles.","Title":"Health Employer Data and Information Set. Letter to National Committee for Quality Assurance.","DocType":"Regulatory Response","CreationDate":"2001-04-19T13:24:31-04:00","DateApproved":"1996-08-29","Pages":4}

1996