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Quality

The Quality Improvement Program includes initiatives to ensure that members are receiving age-appropriate preventive health screenings and interventions to optimize health.

The information on this page provides useful information and tools for managing patient care based on industry-standard clinical practice guidelines.

Preventive Depression Screening Program

This program promotes collaboration, continuity and coordination between medical and behavioral health care.

New: HEDIS Measurement Year 2021 Toolkit

HEDIS®

HEDIS®

HEDIS®

This guide alerts you to important preventive care and services that you can provide to patients to help boost Star Ratings.

HEDIS® (Healthcare Effectiveness Data and Information Set)

Coordination of Care requires proactively identifying the patient’s needs, organizing care and communicating vital information at the right time to the right people.

2021HEDIS®

Other Resources

Controlling Blood Pressure Flyer

Use this tip sheet for best practices on how to talk to your patients about why they need to maintain adherence and how to track their medications.

Examples of Centers for Medicare and Medicaid Services Star measures which use statin therapy to evaluate health plans.


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Last Updated On: 7/5/2022