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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.
The Depression Prevention program promotes collaboration, continuity and coordination between medical and behavioral health care.
HEDIS® Measurement Year Adult Pocket Guide 2024
HEDIS® Measurement Year Adult Pocket Guide 2024
HEDIS® Measurement Year Adult Pocket Guide 2023
HEDIS® Measurement Year Adult Pocket Guide 2023
HEDIS® At-a-Glance STARS Measures
Social determinants influence health in very direct ways. A patient’s housing, food, and safety needs can create barriers blocking quality care and can contribute to poor health.
Controlling Blood Pressure Flyer
OMW – Osteoporosis Management 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.
Unlock the Benefits of Partnership!
2024 Program Announcement
Supplemental Data is any data used in HEDIS® rate calculation that is not submitted through claims processing or HEDIS® Hybrid manual medical record review. Supplemental data captures discrete events and procedures that occur during patient encounters, complementing data obtained through claims.
Implementation Guide: Version 1.0
CAHPS (Consumer Assessment of Healthcare Providers and Systems) Resource Guide
Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey tool that asks patients to evaluate their experience with their health plan and at providers’ offices.
HOS Health Outcomes Survey
