Can Vision Care Improve HEDIS Outcomes?
Strategies to increase reimbursements, close gaps, and improve scores
Are you considering strategies to increase reimbursements, close gaps in care, or improve Healthcare Effectiveness Data and Information Set (HEDIS®)1 scores? In today’s competitive market, health plans can leverage standard ratings to their benefit. And the right vision care partner can help.
Understanding HEDIS
HEDIS, developed and maintained by the National Committee for Quality Assurance (NCQA), is used by more than 90 percent of U.S. health plans to measure performance in managed care.2
Covering over 90 measures across six domains of care, these measurements drive continuous improvement in care. Health plans use HEDIS metrics to identify gaps and inefficiencies, aiming to provide the best care to those most in need.
How Vision Care Can Help
Eye doctors can use eye exams to help identify early signs/symptoms of more than 270 chronic conditions and diseases, including diabetes,3 making ophthalmologists and optometrists vital to a member’s healthcare team.
Patients diagnosed with diabetes are at risk of vision complications and require regular monitoring to ensure their eyes stay healthy. Through annual dilated eye exams with retinal screenings, patients and healthcare providers can monitor disease progression.
The Right Vision Care Partner Can Make a Difference
Improving outcomes for patients with diabetes can significantly boost both Centers for Medicare and Medicaid Services (CMS) Star ratings and HEDIS metrics. VSP® and iCare Health Solutions, a VSP Vision™ company, have a proven track record of helping health plans meet or exceed their CMS and HEDIS goals.
As your vision partner, VSP can provide your members access to non-invasive, reliable care, while helping them manage this chronic condition.
With our VSP Health Solutions™ benefit plan we offer:
- Data analytics to customize services
- Whole-person treatment and healing through primary care integration
- Proactive identification of care gaps
- Member and eye care provider outreach and engagement
- Data-driven eye exam gap closure strategies
- Medical record retrieval
- Multiple access points of care to maximize member choice
- Stakeholder education
Proven Success for Health Plan Partners
With 60+ years of experience working with health plans and demonstrated success in meeting or exceeding their CMS and HEDIS goals, VSP can help close care gaps, enhance efficiencies, reduce diabetes complications, boost HEDIS scores, and improve financial reimbursements.
Contact us to learn how VSP can help you improve your HEDIS scores with VSP Health Solutions™.
1 Healthcare Effectiveness Data and Information Set (HEDIS®). HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
2 NCQA
3 Full Picture of Eye Health, American Optometric Association, 2020