HEDIS measurements

People can easily compare the quality of our plans to other plans using Quality Report Cards. The report cards use a standard set of measures called the Healthcare Effectiveness Data and Information Set (HEDIS^®).* More than 90 percent of America's health plans use HEDIS to evaluate performance.

The National Committee for Quality Assurance (NCQA) developed the HEDIS measures. NCQA is an independent, nonprofit organization. Its goal is to improve health care quality.

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

Aetna tools and programs to improve HEDIS scores

Report cards include information in several areas:

Access to care – How well did the plan provide access to needed care? What percentage of adults and children saw doctors for routine or preventive care, such as immunizations against childhood diseases?

Prevention and screening – What percentage of members had health screenings?

Maternity care – What percentage of pregnant women had proper maternity care?

Treatment of acute and chronic illness – What percentage of members had treatment for certain acute and chronic conditions?

Behavioral health – What percentage of members had treatment for certain behavioral health conditions and follow-up care?

Member satisfaction – How satisfied were members with the plan and the doctors in its network?

Read your state's report cards

We are proud to have been among the first plans to publish HEDIS measurement data.

We offer report cards in PDF format for HMO and PPO plans. Not all states have report cards.

Read more and see report cards