Understanding how we measure
Our methodology for evaluating effectiveness (may also be described as clinical quality) and efficiency (also described as cost-efficiency) of care is consistent with national standards and incorporates physician feedback.
For detailed information about how we evaluate effectiveness and efficiency, please see the manual for
Find your measures
To see the effectiveness and efficiency measures that apply to you, please select a specialty below and review the applicable measures.
Working with us
Delegated resources - Effectiveness and efficiency
HIPAA Important policy updates Medicare Advantage materials Medicare hospice VBID Pharmacy news Physician initiated patient transfers Provider compliance Publications Quality resources
Access Reports and Information
To learn how physicians can access the Clinical Quality and Cost-Efficiency Reports in Availity, review the
For a complete list of effectiveness measures, see the
To provide feedback about the program, please complete the