HEDIS
Utah HEDIS® Results
This report displays results showing the quality of care members received under each Medicaid and CHIP health plan (i.e., managed care or accountable care organization) and commercial health plan reporting to the Health Care Statistics Program as measured using HEDIS technical specifications during calendar year 2024. Several previous years' results are also listed, with each year reported separately. All results were calculated by each individual health plan and validated by an accredited third-party auditor prior to submitting results to the Health Care Statistics Program at the Utah Department of Health and Human Services.
The report is separated into two components:
Results are sorted alphabetically by plan for each quality measure for the most recent reported year. National averages are presented along with plan results for years prior to 2024 but will not be provided from 2024 forward. For some measures, rates are not reported for the following reasons determined during the third-party audit:
- *Small Denominator. The organization followed the specifications, but the denominator was too small (<30) to report a valid rate.
- Not Reported** The organization did not report the measure.
- † Not Required. The organization was not required to report the measure.
- § No Benefit. The organization did not offer the health benefit required by the measure (e.g., mental health, chemical dependency).
All participating health plans were given the chance to review these results prior to publication pursuant to the requirements depicted in UCA 26B-8-506.
The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA.