Managed Care HEDIS Dashboards
DMAS publishes key quality performance measures for our managed care programs as part of our commitment to transparency. The data below, known as the Healthcare Effectiveness Data and Information Set (HEDIS), are nationally recognized measures that are audited for accuracy by specially certified auditors.
In alignment with the 2020-2022 DMAS Quality Strategy, the performance benchmark is the National 50th percentile, meaning that the managed care health plans must perform in the top 50% for these quality measures.
Virginia Medicaid is committed to working toward continuous quality improvement goals to ensure that Virginia Medicaid members have timely access to quality health care. These dashboards are an important part of our effort to demonstrate the value of managed care to the Virginia Medicaid program.
*Note: Due to significant programmatic and population changes that occurred in 2017 and 2018, there are limitations with the reported data for those years; therefore, HEDIS 2020 (Measurement Year 2019) is the benchmark year for the 2020-2022 DMAS Quality Strategy.