Guides · Quality Measures
Quality Measures
A comprehensive series covering every CMS-recognized quality measure — specifications, numerators, denominators, exclusions, and the documentation patterns that actually move the needle on performance.
Measure guides
- The Evidence Behind HEDIS CCS-E: Cervical Cancer ScreeningCCS-E is the cervical cancer screening measure for members 21-64 with a cervix. Cytology vs. HPV evidence base, the 21-vs-25 age discordance, transgender inclusion, ECDS-only transition, and operational guidance.
- The Evidence Behind HEDIS BCS-E: Breast Cancer ScreeningBCS-E is the breast cancer screening measure for members 40-74 with a mammogram. Mortality evidence, overdiagnosis, dense-breast screening, ECDS-only transition, Star Ratings weight, and operational guidance.
- The Evidence Behind HEDIS EED: Eye Exam for Patients With DiabetesEED is the retinal eye exam measure for members 18-75 with diabetes. Treatment-trial-grounded evidence, teleretinal and AI-graded screening, Star Ratings weight, and operational guidance.
- The Evidence Behind HEDIS WCC: Weight Assessment and Counseling for Children/AdolescentsWCC captures BMI percentile, nutrition counseling, and physical activity counseling for children/adolescents ages 3-17. MY 2026 specifications, USPSTF evidence, telehealth rules, and operational guidance.
- The Evidence Behind HEDIS COL-E: Colorectal Cancer ScreeningMeasure specifications, the RCT evidence base, the ECDS-only transition, Star Ratings implications, and what actually closes screening gaps - with benchmarks for health plans.
More on the way. Additional measure guides are in development, generated from public CMS and NCQA specifications.