Commission for Case Manager Certification (CCMC) Exam 2026 – 400 Free Practice Questions to Pass the Exam

HEDIS stands for Health Care Effectiveness Data Information Set. This set of standardized performance measures was developed by the National Committee for Quality Assurance (NCQA) to provide a tool for consumers and purchasers of health care to understand the quality of care provided by managed care organizations. HEDIS is utilized widely across health plans to measure their performance in various domains, such as preventive healthcare, chronic disease management, and access to care.

The significance of HEDIS lies in its focus on improving health care quality while making data comparison easier for healthcare providers and consumers. By using standardized measures, HEDIS allows for benchmarking across different health care entities, thus enhancing transparency and accountability in the healthcare system.

Understanding HEDIS is crucial for case managers as it helps them to evaluate the effectiveness of care and services that they coordinate for their clients.