Effectiveness and Efficiency of Care

A physician discusses health opportunities based on data from the Care Decision Insight program with a patient.

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 Physician Effectiveness and Efficiency, PDF opens new window.

Find your measures

To see the effectiveness and efficiency measures that apply to you please select a specialty below and review the applicable measures.

Access my reports

To learn how physicians can access the Clinical Quality and Cost-Efficiency Reports in Availity review the Availity Quick Guide, PDF opens new window .

For a complete list of effectiveness measures see the measures guide, PDF opens new window .