Quality management
Healthy Blue maintains a comprehensive quality management (QM) program to objectively monitor and systematically evaluate the care and service provided to members.
About the program
The scope and content of the program reflect the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service with ongoing proactive evaluation and refinement of the program.
Related information
CPGs and QM documents - Coming soon
The Healthcare Effectiveness Data and Information Set (HEDIS®)
Note: HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).