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HEDIS MY 2027 Public Comment: What to know

Author Samantha Davis

Each year, the HEDIS® public comment period offers health plans a critical opportunity to understand what’s changing and to influence what comes next. For Measurement Year (MY) 2027, the National Committee for Quality Assurance (NCQA) is proposing a wide range of updates that span finalized measure changes, updates still open for comment, and several new measures that signal the continued shift toward digital and outcomes‑focused measurement. Simultaneously, the Centers for Medicare & Medicaid Services (CMS) is proposing measure retirements and additions for the Exchange MY 2026 Quality Rating System (QRS) reporting program.

Below is a concise breakdown of what health plans need to know now, and how to prepare for what’s ahead.

About the Author

Samantha is the senior manager of program management supporting Cotiviti’s Quality Intelligence solution. She has over 12 years of experience working in HEDIS. Her team of HEDIS and state and custom program managers are responsible for ensuring adherence to NCQA and state Medicaid specifications. She is primarily responsible for bridging her knowledge of HEDIS requirements to inform product roadmap, operations, and client collaboration, guiding the organization through the annual HEDIS update cycle.

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