Quality Programs

Review key changes to HEDIS® measures.

Make screening and follow-up easier for your patients.

Learn about the best practices and tools for Primary Care Providers to improve patient outcomes.

Ensuring a healthy start for every child.

Current member engagement campaign focuses on commonly mis-coded chronic conditions.

Primary care is the cornerstone to 3 health outcomes.

Learn about the latest tools and best practices for depression screening.

Submitting accurate codes can improve patient outcomes and eliminate medical record requests.

Providers shared best practices to improve coding quality (risk adjustment) for patients with chronic conditions.

Your patients can keep cardiovascular events at bay with a daily pill.

Preventive care includes timely visits and knowing when to seek expert guidance.

A summary of key findings and areas for improved collaboration.

Helping members manage low back pain and mental health assistance for children, teens, and adults.

We’re encouraging members to prioritize their health.

According to the National Committee for Quality Assurance, cardiovascular disease is the leading cause of death in the United States.

Informing members about alternative high-quality care options for urgent, non-emergency situations.

Members to receive information about how to take care of their hearts.

One in eight women in the United States has a lifetime risk of getting breast cancer, according to Susan G. Komen.

According to the American Cancer Society, colorectal cancer is a top leading cause of cancer death for both men and women in the United States.

Check out how we’re engaging with parents to keep children on track with recommended immunizations.

Learn about our Centers of Excellence and Blue Distinction® Specialty Care programs.

We no longer need to review medical records to confirm blood pressure values if CPT II codes are added to claims.

Educating members on the importance of preventative cancer screenings and routine checkups.

Members to receive information about care options and when it’s appropriate to use them.

Well-child checkup communications to continue this summer.

Members will receive personalized communication about monitoring their asthma.

LetsGetChecked is sending kits to eligible members to simplify access for important screenings.

Help your patients know the difference between the need for urgent and emergent care.

These HEDIS^® measures can be used to improve patient outcomes.

Informing members of alternative high quality care options when they need a provider, but not emergently.

Providing members with tips for maintaining a healthy heart.

Members will receive personalized mailers in May about caring for their asthma and blood pressure.

Educating members on the importance of preventive cancer screenings and routine checkups.

Check out how we’re engaging with parents to keep children on track with well-child checkups.

The Plan All-Cause Readmissions HEDIS measure focuses on preventing unplanned hospital readmissions.

Sharing information about a patient’s treatment plan and prescribed medications improves coordination and safety.

Sharing the importance of ages 0 to 11 well child checkups.

Eligible members will receive their kits by December 31, 2023.