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Nutrition measures for managed care report cards
1Tufts University School of Nutrition, New England Medical Center, Boston, MA 02111, USA.
Journal of the American Dietetic Association
|April 1, 1996
Summary
Health plan report cards can improve consumer choice. Proposed nutrition measures for HEDIS aim to enhance managed care report cards by including medical nutrition therapy for key conditions.
Area of Science:
- Health Services Research
- Nutrition Science
- Health Policy
Background:
- Health plan report cards aid consumer choice based on cost and quality.
- The Health Plan Employer Data and Information Set (HEDIS) is a standard for measuring health plan performance.
- Current HEDIS measures lack inclusion of vital health services like medical nutrition therapy.
Purpose of the Study:
- To propose new nutrition measures for managed care report cards.
- To advocate for the inclusion of medical nutrition therapy in HEDIS.
- To enhance health plan performance evaluation with nutrition-focused metrics.
Main Methods:
- Development of four proposed medical nutrition therapy measures.
- Focus on staffing for nutrition services.
- Targeting conditions: high cholesterol, gestational diabetes, and cardiovascular disease.
Main Results:
- Identified barriers to adopting new HEDIS measures, including technical issues and competing priorities.
- Proposed specific nutrition measures for inclusion in managed care report cards.
- Highlighted the potential broad appeal of nutrition measures among stakeholders.
Conclusions:
- Medical nutrition therapy measures are essential for comprehensive health plan evaluation.
- Addressing technical challenges and stakeholder engagement are key to HEDIS measure adoption.
- Registered dietitians play a crucial role in advancing nutrition within managed care evaluation.