What does 90% of health plans use the Healthcare Effectiveness Data and Information Set for?

The Healthcare Effectiveness Data and Information Set (HEDIS) is primarily utilized by health plans to assess and improve the quality of care they provide to their members. One of the key purposes of HEDIS is to measure various aspects of healthcare quality, which includes customer satisfaction metrics obtained through the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The CAHPS survey specifically aims to gather data from patients about their experiences with health care, focusing on how they perceive the services they receive.

The use of HEDIS in this context allows health plans to identify strengths and weaknesses in their care delivery, ultimately driving enhancements in patient satisfaction and outcomes. By analyzing this data, health plans can implement changes that align with patient needs and preferences, ensuring that care delivery is patient-centered.

In contrast, other options like evaluating financial performance, employee performance, or conducting clinical trials, while important aspects of health care operations, do not directly relate to the specific purpose of HEDIS, which is centered on measuring healthcare quality and patient satisfaction. Thus, the correct choice reflects the primary focus of HEDIS in evaluating how well health plans are servicing their members from a satisfaction perspective.