The Healthcare Effectiveness Data and Information Set (HEDIS) is the set of criteria used to measure the performance of a particular plan. Consumers frequently use HEDIS scores to compare health plans. The Centers for Medicare and Medicaid Services (CMS) requires regular HEDIS data from health plans in order to provide services for Medicare Advantage enrollees.
How It Works
EMSI Health helps health plans improve HEDIS scores by quickly retrieving complete medical records of members. Within 10-12 weeks, we can retrieve all member charts containing comprehensive record histories.
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