What HEDIS is
HEDIS is a set of quality measures published by the National Committee for Quality Assurance and reported by most commercial, Medicare, and Medicaid plans. Each measure defines who is eligible and what counts as done, for example the share of eligible patients who completed a colorectal cancer screening.
NCQA updates the set every year. For measurement year 2026 it retired two measures and moved three, including the two statin therapy measures, to electronic clinical data (ECDS) reporting only. It has also proposed phasing out the hybrid chart-review method. A care gap is an eligible patient missing a required service before the measurement year closes.
Closing gaps is mostly finding the right patients and reaching them. In Rivvi, a quality team uploads payer gap reports, asks which patients have the most open measures, and runs outreach on that list. When the visit needs booking in the EHR, Rivvi warm-transfers the patient to scheduling or creates a task, and logs the outcome.