OPM.gov Home | Subject Index | Important Links | Contact Us | Help

U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

Insurance Services Programs

You have reached a collection of archive material. The content available is no longer being updated and as a result you may encounter hyperlinks which no longer function. You should also bear in mind that this content may contain text and references which are no longer applicable as a result of changes in law, regulation and/or administration.

Federal Employees Health Benefit Program

HEDIS Quality Measures

To Individual Plan Results

HEDIS stands for Health Plan Employer Data and Information Set. It is a health plan measurement tool that looks at different features of health care. We present HEDIS results on managed care plans to:

allow consumers to reliably compare health plan performance, and
spur the health plans to make internal efforts at quality improvement.

You can use this information to see how your plan scored against the FEHB average and against other FEHB plans. We report FEHB health plan results for the following HEDIS measures:

Antidepressant Medication Management
Beta Blocker Treatment
Breast Cancer Screening
Cervical Cancer Screening
Cholesterol Management After Acute Cardiovascular Events
Childhood Immunization Status
Comprehensive Diabetes Care
Follow-up After Hospitalization For Mental Illness
Prenatal and Postpartum Care

HEDIS is developed and maintained by the National Committee for Quality Assurance, a not for profit organization committed to assessing, reporting on, and improving the quality of health care.

A, B, C, D, F, G, H, I, J, K, L, M, O, P, R, S, T, U, V

Plan	Plan Code(s)
ADVANTAGE Health Plan, Inc.	6Y
Aetna Health Inc.	JC
Aetna U.S. Healthcare - Pennsylvania	KL, SU, and P3
Aetna U.S. Healthcare Delaware	SU
Aetna U.S. Healthcare Inc. - Connecticut	H1
Aetna U.S. Healthcare Inc. - Maryland, DC and Virginia	JN
Aetna U.S. Healthcare Inc. - Massachusetts	NE
Aetna U.S. Healthcare of California Inc. Southern Region	2X
Aetna U.S. Healthcare of Illinois Inc.	D4
Aetna U.S. Healthcare of North Texas, Inc.-- Dallas/Ft. Worth	5B and 8X
Aetna U.S. Healthcare, Inc. - Arizona	WQ
Aetna U.S. Healthcare, Inc. - Colorado	6F and 2U
Aetna U.S. Healthcare, Inc. - Nevada	8L
Aetna U.S. Healthcare, Inc. - Ohio	7D, 7J, and RD
Aetna U.S. Healthcare, Inc. - Oklahoma	8V
Aetna U.S. Healthcare, Inc. - Tennessee	6J and UB
Aetna U.S. Healthcare, Inc. (a Washington Corporation)	8J
Aetna US Health Care-Kentucky	7L, RD, XC and 7K
Altius Health Plans	9K
Anthem Blue Cross and Blue Shield-Ohio	R5
AultCare Corporation	3A
AvMed Health Plan	H5, HW, JF, and EM
Blue Care Network of Michigan	K5, KF, KR, LN, and LX
Blue Cross of California	M5
Blue Shield of California	SJ
BlueCHiP	DA
BlueChoice	MK and 9G
Capital District Physicians Health Plan, Inc.	PW and SG
Capital Health Plan	EA
CareFirst BlueChoice	2G
CIGNA HealthCare of California, Inc.	9T
Cimarron Health Plan	PX
Compcare Health Services Insurance Corporation	69
ConnectiCare, Inc.	TE
Coventry Health Care of Iowa, Inc.	SV
Coventry Health Care of Kansas, Inc.	HA
Dean Health Plan, Inc.	WD
Fallon Community Health Plan	JV
FIRSTCARE -- Abilene, Texas	CK
FIRSTCARE -- Amarillo, Texas	CK
FIRSTCARE -- Lubbock, Texas	CK
FIRSTCARE -- Waco, Texas	6U
Grand Valley Health Plan, Inc	RL
Group Health Cooperative of Puget Sound	VR and 54
Group Health Cooperative of South Central Wisconsin	WJ
Group Health Incorporated	80
Group Health Plan, Inc.	MM
Health Alliance Medical Plans	FX
Health Alliance Plan of Michigan	52
Health Net	LB
Health Net of Arizona, Inc.	A7
Health Net of Connecticut, Inc	DP
Health Net of New Jersey, Inc	PD
Health Net of Pennsylvania, Inc	27 and 2K
Health Plan of Nevada, Inc.	NM
HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc.	26 and SW
HealthGuard of Lancaster, Inc.	NQ
HealthKeepers, Inc.	X8
HealthPartners	HQ
HealthPartners, Inc.	53
HIP Health Plan of New York	51
Health Plan of the Upper Ohio Valley, Inc., The	U4
HMSA - All of Hawaii	87
Humana Health Care Plans, Inc. - Chicago Market	75
Humana Health Plan Inc. - Kansas City, Inc.	MS
Humana Health Plan of Texas, Inc. -- Austin	UR
Humana Health Plan, Inc. - Kentucky	D2
Humana Medical Plan, Inc. - South Florida	EE
IHC Health Plans	MU
Independent Health	QA
John Deere Health Care, Inc.	YH
Kaiser Foundation Health Plan Inc. - Southern California	62
Kaiser Foundation Health Plan of Georgia, Inc. -- HMO Plan	F8
Kaiser Foundation Health Plan of Georgia, Inc. -- POS Plan	F8
Kaiser Foundation Health Plan of Hawaii, Inc.	63
Kaiser Foundation Health Plan of Ohio	64
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.	E3
Kaiser Foundation Health Plan of the Northwest, Inc.	57
Kaiser Foundation Health Plan, Inc. - Northern California	59
Kaiser Permanente, Colorado	65
Keystone Health Plan Central	S4
Keystone Health Plan East, Inc.	ED
Keystone Health Plan West, Inc.	EF
Lovelace Health Systems, Inc.	Q1
M Plan, Inc.	IN
M-CARE, Inc.	EG
MD - Individual Practice Association, Inc. (M.D. IPA)	JP
Medical Mutual of Ohio	L4 and 5M
Mercy Health Plan of Missouri, Inc.	7M
MVP Health Care, Inc.	GA, M9, MX and VW
OATH, The - A Health Plan for Alabama, Inc.	DF
OmniCare Health Plan	KA
Optima Health Plan	9R
OSF Health Plans, Inc.	9F
PacifiCare Health Insurance Company of Micronesia, Inc. (PHICM)	JK
PacifiCare of Arizona, Inc.	A3
PacifiCare of California, Inc.	CY
PacifiCare of Colorado, Inc.	D6
PacifiCare of Nevada, Inc.	K9
PacifiCare of Oklahoma, Inc.	2N
PacifiCare of Oregon, Inc.	7Z
PacifiCare of Texas -- Austin	GF
PacifiCare of Washington, Inc.	WB
Paramount Health Care	U2
PersonalCare Insurance of Illinois, Inc.	GE
Prepaid Health Plan	QE and SH
Preferred Care	GV
Presbyterian Health Plan, Inc.	P2
Rocky Mountain HMO	XJ
Sioux Valley Health Plan	AU
Southwest Texas HMO, Inc. -- Abilene/Midland/San Angelo	YX
Southwest Texas HMO, Inc. -- Austin	YM
Southwest Texas HMO, Inc. -- Beaumount/Lufkin	YM
Southwest Texas HMO, Inc.-- Corpus Christi/Rio Grande	YM
Southwest Texas HMO, Inc. -- Dallas/Ft. Worth	YX
Southwest Texas HMO, Inc. -- El Paso	YX
Southwest Texas HMO, Inc. -- Houston	YM
Southwest Texas HMO, Inc. -- Lubbock	YX
Southwest Texas HMO, Inc. -- Tyler	YX
SummaCare, Inc.	5W
Triple-S, Inc. (Puerto Rico)	89
UNICARE Health Plans of the Midwest, Inc.	17
UnitedHealthCare of Ohio, Inc. - Southwest	3U
Unity Health Plans Insurance Corporation	W4
Univera Healthcare	Q8
UPMC Health Plan, Inc.	8W
Upstate HMO	EB
Upstate HMO	AH
Vytra Health Plans Long Island, Inc.	J6

U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532