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Quality

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.

Preventive Depression Screening Program

This program promotes collaboration, continuity and coordination between medical and behavioral health care.

New: HEDIS Measurement Year 2021 Toolkit

HEDIS®

HEDIS®

HEDIS®

This guide alerts you to important preventive care and services that you can provide to patients to help boost Star Ratings.

HEDIS® (Healthcare Effectiveness Data and Information Set)

Coordination of Care requires proactively identifying the patient’s needs, organizing care and communicating vital information at the right time to the right people.

2021HEDIS®

Other Resources

Controlling Blood Pressure 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.


Male doctor discussing results with senior female patient

Diabetes Care

According to the Centers for Disease Control and Prevention, 9.4 percent of the U.S. population has diabetes. Another 84.1 million have prediabetes, a condition that can often lead to type 2 diabetes, within five years if not treated.
Woman having conversation with her female doctor.

Breast Cancer

Breast cancer is the most frequently diagnosed cancer among women. In 2017, an estimated 252,710 cases of invasive breast cancer will be diagnosed in the U.S. alone, according to the American Cancer Society.
Medical Professionals

Colorectal Cancer Screening Saves Lives

Screening for colorectal cancer can help find cancer early, when it might be easier to treat. Physicians and other clinicians are well aware of the benefits of screening, but many patients are not up to date with screening.
Women's Health

Preventive Care in Women's Health

WellCare’s Quality Improvement Program monitors multiple measures that reflect your patients’ experiences and health.
Elderly woman and doctor smiling at camera

Getting Needed Care

Access to medical care, including primary care, specialist appointments and appointment access, are key elements of quality care.
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Last Updated On: 7/5/2022