Others titles

  • HEDIS Part C Quality Measures CMS Star Ratings 2016
  • HEDIS Part C Quality Measures CMS 2016
  • Quality Metrics HEDIS Part C 2016
  • Health Measures HEDIS Part C 2016
  • Performance Measure HEDIS Part C Quality Measures 2016


  • CMS Star Rating
  • CMS Measures
  • CMS Quality Metrics
  • CMS Health Measures
  • CMS Performance Measures
  • HEDIS Tool
  • HEDIS Data
  • NCQA Measurement Processmance Quality Measures Medicare Ratings 2016

HEDIS Part C Disease Screening Quality Measures 2010 to 2016

The dataset explains different metrics or standard of measurement for Part C (Medicare private health plans) reported at the contract level with less than 500 enrolled. Medicare Part C is the part of Medicare policy that allows private health insurance companies to provide Medicare benefits. These Medicare private health plans, such as HMOs (Health Maintenance Organization) and PPOs (Preferred Provider Organization), are known as Medicare Advantage Plans.

Log in to download

Get The Data

For getting access to data download links please read and accept the end-user license agreement.
Your Data License
  • Research
    Non-Commercial, Share-Alike, Attribution Free Forever
  • Commercial
    Commercial Use, Remix & Adapt, White Label Log in to download


The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used sets of health care SHOULD BE ONE WORD performance measure in the United States. The NCQA measurement development process has expanded the size and scope of HEDIS to include measures for physicians, Preferred Provider Organizations (PPO) and other Health Maintenance Organizations (HMO). The HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. NCQA collects HEDIS data directly from Health Plan Organizations and Preferred Provider Organizations for multiple purposes via the Healthcare Organization Questionnaire (HOQ) and HEDIS non-survey data through the Interactive Data Submission System (IDSS). National Committee for Quality Assurance (NCQA) collects Medicare HEDIS data on behalf of the Centers for Medicare & Medicaid Services (CMS), and Medicaid HEDIS data on behalf of state agencies. In addition, NCQA collects commercial data on behalf of some states and the U.S. Office of Personnel Management for health plan report cards.

The National Committee for Quality Assurance (NCQA) is an independent non-profit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. NCQA operates on a formula of measure, analyze, and improve and it aims to build consensus across the industry by working with policymakers, employers, doctors, and patients, as well as health plans. Health plans seek accreditation and measure performance through the administration and submission of the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.

HEDIS data collected by NCQA are important for researchers working to improve the health care system, as well as for NCQA staff seeking to improve the HEDIS measures themselves. Commercial HEDIS data are used to calculate national performance statistics and benchmarks, as well as to set standards for measures included in NCQA’s Accreditation program. Developing a measure is a multi-step process. It involves identifying the clinical area to evaluate; conducting an extensive literature review; developing the measure with the appropriate MAP and other panels; vetting it with various stakeholders; and performing a field-test that looks at feasibility, reliability and validity. NCQA consistently raises the bar. Accredited health plans today face a rigorous set of more than 60 standards and must report on their performance in more than 40 areas in order to earn NCQA’s seal of approval. These standards will promote the adoption of strategies that will improve care, enhance service and reduce costs, such as paying providers based on performance, leveraging the Web to give consumers more information, disease management and physician-level measurement. Many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans.

About this Dataset

Data Info

Date Created


Last Modified




Update Frequency


Temporal Coverage

2014-01-01 to 2014-12-31

Spatial Coverage

United States


John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements


Source Citation



CMS Star Rating, CMS Measures, CMS Quality Metrics, CMS Health Measures, CMS Performance Measures, HEDIS Tool, HEDIS Data, NCQA Measurement Processmance Quality Measures Medicare Ratings 2016

Other Titles

HEDIS Part C Quality Measures CMS Star Ratings 2016, HEDIS Part C Quality Measures CMS 2016, Quality Metrics HEDIS Part C 2016, Health Measures HEDIS Part C 2016, Performance Measure HEDIS Part C Quality Measures 2016

Data Fields

Name Description Type Constraints
YearPerformance Year of Part C (2014, 2015 and 2016)date-
Contract_NumberContract number for measurement for Part Cstring-
Organization_Marketing_NameOrganization Marketing Namestring-
Contract_NameContract Name (Insurance Company)string-
Parent_OrganizationParent Organization of Insurance Companystring-
Breast_Cancer_ScreeningPerformance data for Breast Cancer Screeningstring-
Colorectal_Cancer_ScreeningPerformance data for Colorectal Cancer Screeningstring-
Cardiovascular_Care_Cholesterol_ScreeningPerformance data for Cardiovascular Care (Cholesterol Screening)string-
Diabetes_Care_Cholesterol_ScreeningPerformance data for Diabetes Care (Cholesterol Screening)string-
Glaucoma_TestingPerformance data for Glaucoma Testingstring-
Adult_BMI_AssessmentPerformance data for Adult BMI Assessmentstring-
Care_For_Older_Adults_Medication_ReviewCare for Older Adults Medication Reviewstring-
Care_For_Older_Adults_Functional_Status_AssessmentCare for Older Adults (Functional Status Assessment)string-
Care_For_Older_Adults_Pain_AssessmentCare for Older Adults (Pain Assessment)string-
Osteoporosis_Management_In_Women_Who_Had_A_FracturePerformance data for Osteoporosis Management in Women who had a Fracturestring-
Diabetes_Care_Eye_ExamPerformance data for Diabetes Care (Eye Exam)string-
Diabetes_Care_Kidney_Disease_MonitoringPerformance data for Diabetes Care (Kidney Disease Monitoring)string-
Diabetes_Care_Blood_Sugar_ControlledPerformance data for Diabetes Care (Blood Sugar Controlled)string-
Diabetes_Care_Cholesterol_ControlledPerformance data for Diabetes Care (Cholesterol Controlled)string-
Controlling_Blood_PressurePerformance data for Controlling Blood Pressurestring-
Rheumatoid_Arthritis_ManagementPerformance data for Rheumatoid Arthritis Managementstring-
Plan_All_Cause_ReadmissionsPlan for all cause readmissionsstring-

Data Preview

No data for preview