Quality in Action

Enhancing patient care through best practices

We're dedicated to empowering providers with the knowledge and tools necessary to improve patient outcomes. In this section, you can:

  • Discover how you can partner with us to elevate the standard of care and make a more meaningful difference in the lives of your patients.
  • Explore our best practices newsfeed, as well as links to our quality programs, toolkits and publications.

Best practices to improve patient care

March 2025

Cancer screenings and prevention
View the list of preventive services, including cancer screenings, we cover at no cost (no copay and no deductible) to our members.


Improving members’ experience with medications
Understand factors that may affect your patients’ ability to take medications as prescribed or easily obtain prescriptions.


Resources for addressing social determinants of health
Learn about best practices and access resources to address social determinants of health (SDoH).


Taking control of tomorrow: National Healthcare Decisions Day
Having advance care planning (ACP) conversations with your patients can help them align their medical care with personal values and wishes. We support these crucial discussions by reimbursing for ACP conversations with members, regardless of age or health status.


Tobacco cessation resources for providers and patients
Help patients decrease tobacco use by sharing and encouraging them to use tobacco cessation tools and resources.

Programs

Quality Program

When you share cost and quality data with our members—your patients—they can make more informed health care decisions. Our cost and quality tools and resources support our commitment to ongoing quality care for our members.

Explore our Quality Program

Quality Incentive Program

Earn incentives when you partner with us to address gaps in patient care, focus on delivering an outstanding member experience and submit high-quality data resulting in improved health outcomes for our Individual on-exchange members.

Resources

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Health Equity Toolkit

Resources to develop and improve your cultural competency and health literacy practices.

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Quality Improvement Toolkit

Resources to help you improve the member experience and patient outcomes.

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Behavioral Health Toolkit

Support for PCPs, behavioral health clinicians and members.

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Quality Measures Guide

Learn about the quality and member experience measures that we track for various programs and annual reporting. This guide includes specifications for measures.

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Provider News

Read our newsletter for updates about our quality programs, tools and resources to improve patient care. Subscribe to stay up to date.