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December 2014

PPO Quality Improvement Program supports member care

At Blue Cross, we continually implement, monitor, measure and evaluate strategies to improve the quality of care delivered to our members. Through our data-driven PPO Quality Improvement Program, we’re able to understand our member population and identify opportunities to improve their health and satisfaction with their health care.

Our annual quality assessment includes:

  • Access to care
  • Continuity and coordination of care
  • Member satisfaction
  • Provider performance
  • Clinical quality
  • Utilization and medical management programs
  • Delegation
  • Patient safety

This evaluation is also supported through the compliance and health outcomes of:

  • The Healthcare Effectiveness Data and Information Set, known as HEDIS®
  • Consumer Assessment of Healthcare Providers and Systems member satisfaction surveys, known as CAHPS®

You can get more details abou Quality Improvement Program at bcbsm.com/importantinfo.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
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