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Focus on Quality
Health care has become more promising while at the same time more complicated and confusing. Consumers not only are dealing with issues of access and affordability, but also with questions about quality. At Anthem Blue Cross, we are committed to improving health care for all of us. And, that means a focus on quality. We use an integrated approach to improving quality of care and preventive health services. We also monitor and evaluate medical services to seek ways of improving them for our members. It's part of what we call "The Power Of Blue."
National Committee for Quality Assurance (NCQA)
Review from respected outside organizations is an important part of maintaining plan quality. The NCQA conducts a voluntary review process to evaluate how well a health plan manages all the parts of its delivery system in order to continuously improve health care for its members. We actively participate in this process and have implemented programs to ensure that we continue to meet these high standards.
Quality Management Notifications
Member Rights and Responsibilities (English) or (Español)
The Health Plan Employer Data and Information Set (HEDIS)
We also participate in HEDIS, which uses a set of indicators determined by the NCQA to consistently measure quality of care on an annual basis.
Medical Group Performance Profile
We developed a medical group report card to track important issues, such as patient satisfaction, access to care, health screenings and problem handling. It's part of our effort to be sure that our members are happy with us, their doctor and their other providers.
Our preventive health programs are designed to help members improve the quality of their lives through information on healthy living, access to preventive health care and care management for chronic conditions.
Publications
Our newsletters for members and providers share up-to-date information on healthy living tips, practice guidelines and current health initiatives.
Preventive Health Care Guidelines
These schedules for members and providers recommend screenings and immunizations for healthy infants, children, adolescents, adults and seniors.
Infant and Childhood Immunization Outreach
This reminder program targets parents, pediatricians and medical groups to promote on-time immunizations.
Health Management Programs
Qualified members with diabetes, asthma and congestive heart failure receive special health education materials and learn self-management skills to promote living well with chronic conditions.
Academic and Public Partnerships
Anthem Blue Cross collaborates with community organizations and accredited universities on various clinical research and development projects.
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