Quality management

Wellpoint maintains a comprehensive quality management (QM) program to objectively monitor and systematically evaluate the care and service provided to members. The scope and content of the program reflects 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

 

Medical management model 

 

Healthcare Effectiveness Data and Information Set (HEDIS®) 

 

 HEDIS ECDS Coding Booklet 2024 - Medicare

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Interested in becoming a provider in the Wellpoint network?

 

We look forward to working with you to provide quality service for our members.

 

Join our network