Quality Improvement

We are committed to enhancing the quality of our members' experience of care. Quality customer service, quality service delivery, and quality improvement are core values that permeate every facet of our daily operations.
 
Throughout each level of our organization, our commitment to quality is unwavering. These include:
  • Member & provider satisfaction surveys
  • Tracking of member & provider concerns
  • Credentialing, monitoring, and re-credentialing network practitioners
  • Use of customer advisory boards
  • Objective measurement of operational and clinical outcomes
  • Application of clinical guidelines and disease management processes
  • Monitoring, trending, and evaluation of clinical indicators
Optima Health received the "Excellent" accreditation status from NCQA for its commercial and Medicaid plans.1 
 
Optima Behavioral Health partners with Optima Health for behavioral health and maintains an integrated quality improvement program.  

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1 NCQA Report Card, www.ncqa.org