BCBSD Quality Improvement Program

Categories: Empower Consumers and Providers

Blue Cross Blue Shield of Delaware performs an extensive review of quality practices each year to allow consumers to reliably compare the performance of different managed healthcare platforms.  Standards of care, such as the effectiveness of specific health practices like immunizations, postpartum check-ups and the use of antidepressants, are judged according to Healthcare Effectiveness Data and Information Set (HEDIS) measures.  The Consumer Assessment of Health Plans Survey (CAHPS) serves to measure the performance of BCBSD’s customer service, claims processing and health plan rating, as well.

Through HEDIS and CAHPS reviews, BCBSD receives accreditation from the National Committee for Quality Assurance (NCQA), ensuring Plan members are provided with safe, effective care and service of the highest quality.