Quality Assurance Reporting Requirements and The Healthcare Effectiveness Data and Information Set

Quality Assurance Reporting Requirements (QARR)

New York Department of Health has a public reporting system called the Quality Assurance Reporting Requirements (QARR), which collects quality and satisfaction measures for all plans in New York and publishes an annual report of health plan performance.

QARR was created by New York State (NYS) and consists of measures from the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), Center for Medicare and Medicaid’s (CMS) QRS Technical Specifications, and New York State-specific measures.

Areas of performance included in the 2020 QARR:

• Effectiveness of Care
• Access/Availability of Care
• Experience of Care
• Utilization and Risk Adjusted Utilization
• Health Plan Descriptive Information
• Measures Collected Using Electronic Clinical Data
• NYS-specific measures

The Healthcare Effectiveness Data and Information Set (HEDIS)

HEDIS is a tool used by more than 90 percent of health plans to measure performance on important dimensions of care and service. HEDIS makes it possible to compare the performance of health plans.

HEDIS is a registered trademark of the NCQA. HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis.

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