Latest HEDIS Audit Results Now Available

You can now view the most recent performance measures for the Healthcare Effectiveness Data and Information Set (HEDIS®) via NaviNet by:

  • Going to the Provider Resource Center
  • Selecting EDUCATION/MANUALS from the sidebar
  • Clicking HEDIS
  • Selecting HEDIS Results

These just-released results are based on services received in 2020 and reported in 2021. To help with benchmarking, the Quality Compass® 2021 national averages are also included with the HEDIS data.


HEDIS is the most widely used set of performance measures in the managed care industry. The published results enable members and providers to compare how plans perform.

HEDIS data is collected annually and covers:

  • Effectiveness of care
  • Access/availability of care
  • Experience of care
  • Utilization and risk adjusted utilization
  • Health plan descriptive information

Developed by the National Committee for Quality Assurance (NCQA), HEDIS is part of the NCQA Accreditation Program and establishes accountability in health care through performance measurements used by the Centers for Medicare and Medicaid Services (CMS) and other third-party reporting agencies.

Important Disclaimers

The source of the data contained in this publication is Quality Compass® 2021 and is used with the permission of NCQA. Quality Compass® 2021 includes certain Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on this data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion.

Quality Compass® is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Additional information related to 2021 CAHPS reporting can be found here .

Per CMS guidance, 2020 Medicare product survey results were not reported or released for comparison.