MassHealth Managed Care HEDIS® Reports

The annual MassHealth Managed Care HEDIS reports present information on the quality of care provided by the six health plans serving the MassHealth managed care population. This assessment was conducted by the MassHealth Office of Clinical Affairs (OCA), the MassHealth Office of Providers and Plans (OPP), and the MassHealth Office of Behavioral Health (OBH). The data presented in these reports are a subset of the Healthcare Effectiveness Data and Information Set (HEDIS) measures. HEDIS was developed by the National Committee for Quality Assurance (NCQA) and is the most widely used set of standardized performance measures to evaluate and report on the quality of care delivered by health care organizations.

MassHealth Statewide Child Survey: Results from the 2013 MassHealth Patient Experience Survey

MassHealth Managed Care (MCO) Quality Strategy Report

This report is the third revision of the Massachusetts Managed Care Quality Strategy, a strategy required by 42 CFR 438, et seq. The Strategy was first developed in 2006 and updated in 2008 and 2010. This report includes the elements of the Quality Strategy required by CMS, but also includes state specific managed care quality goals and measures.