Quality
We're committed to improving the quality of health care and services for our members.
The goals of our ongoing quality program are to:
- Measure, monitor, and analyze the outcomes of health care and services received by health plan members.
- Plan and carry out focused quality initiatives for health plan members and providers.
Each year, we develop a quality improvement work plan, which is monitored by the health plan's Quality Improvement Committee. The annual evaluation of the Quality Program is also reviewed and approved by the health plan's Board of Directors.
We're committed to maintaining a strong relationship with our members and treating members in a manner that respects your rights and promotes effective health care. To keep this promise, we've established Members' Rights and Responsibilities for its members.
If you have any questions or concerns about your Rights and Responsibilities, please contact Member Services at 1-800-777-1840. If you require translation services, Member Services also can assist you.
- Member Rights and Responsibilities (PDF)opens in a new windowopens in a new tab
- Patient Safety Tips and Resources (PDF)opens in a new windowopens in a new tab
- Preventive Healthcare Guidelines (PDF)opens in a new windowopens in a new tab
- Quality Overview (PDF)opens in a new windowopens in a new tab
- 2023 Commercial Quality Performance Results (PDF)opens in a new windowopens in a new tab
- 2023 Quality Improvement Work Plan for Commercial Members (PDF)opens in a new windowopens in a new tab