October 2021
2021 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 2021 BCBSIL HMO and PPO HEDIS Reports, which are based on 2020 data using HEDIS 2021 specifications, include measures across domains of care that reflect: effectiveness of care, access/availability of care and utilization.
The 2021 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 HMOSM, Blue Precision HMOSM, BlueCare DirectSM and Blue FocusCareSM combined. The complete HMO and PPO HEDIS Reports are available in the HEDIS Commercial page of our Provider website.
HEDIS is a registered trademark of the NCQA.