November 2020

2020 Annual HMO and PPO HEDIS^® Reports

Each year, Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. HEDIS is a nationally standardized set of measures related to important areas of care and service. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health care performance measures in the U.S.

The 2020 BCBSIL HMO and PPO HEDIS Reports, which are based on 2019 data using HEDIS 2020 specifications, include measures across domains of care that reflect: effectiveness of care, access/availability of care and utilization.

The 2020 Quality Compass National Averages are provided to compare the commercial HMO and PPO’s performance to the performance of other health care organizations submitting data to NCQA.

Audited HMO HEDIS results are reported for HMO Illinois^®, Blue Advantage HMO^SM, Blue Precision HMO^SM, BlueCare Direct^SM and Blue FocusCare^SM combined. Audited PPO HEDIS results are reported for PPO and Blue Choice PPO^SM combined. The complete HMO and PPO HEDIS Reports are available on the HEDIS Commercial page.

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA)