Opportunities for improvement and best practices are continuously pursued. A formal evaluation of the Quality Management program is continuously performed and documented annually. The Program itself focused on member-centric care and patient-provider relationships while evaluating data-driven decision making throughout the organization.
There are specific activities linked to the QM program which include:
Population health, including HEDIS® and STARs measure improvement is the cornerstone of the Quality Management program. Using our HEDIS® engine, Cozeva, our quality specialists boost HEDIS® scores, STARs rating and population health initiatives with data quality solutions and initiatives that standardize and extract value from data submitted by network providers and health plans.
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