Research Projects
Research Projects in Health
Evaluating the Reliability and Validity of the Health Plan Data and Information Set
By Luis Paita, Denise Love, Kaveepan Lertwachara and Irina Grabovsky.
This draft paper is the outcome of a study that was funded by the Society of Actuaries
Committee on Health Benefit Systems Research. The study examines the reliability and validity of the Health Plan
Employee Data and Information Set (HEDIS) performance measures. In addition, the study investigates ways to make
HEDIS data collection less burdensome and analyzes the extent to which enrollee satisfaction survey results reflect
health plan performance.
It is our intention by placing the paper on the website to add to the body of HEDIS knowledge
and provide an additional resource to those interested in this topic. Please direct all comments and questions to
the authors.