EmblemHealth and ConnectiCare are continually developing our portfolio of quality- focused materials to help you meet your quality goals and improve health outcomes for our shared members. Providers may find these helpful documents on our EmblemHealth Quality Improvement web page and ConnectiCare Quality Improvement web page.
Some new or updated additions to our quality web pages include:
- The 2023 Quality Measure Resource Guide.
- The Quality Measure Resource Guide provides a brief overview of national and state quality measures that are sourced from National Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS). The measures evaluate various domains of preventive, acute, and chronic care.
- These updates align with the measures providers will be receiving in their 2023 gap in care reports.
- CAHPS Tips for Improving Member Satisfaction — Our network providers, their physical offices, staff, and office policies play a fundamental role in influencing patient perceptions surrounding their health care experiences. Every spring, the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey is sent to a random sample of Medicare, commercial, and Health Insurance Marketplace® (exchange) members to capture those patient experiences. Medicaid members receive the survey in the fall. Explore our materials that provide best practices on how to improve your CAHPS scores.
- Supplemental Data Training PowerPoints — We encourage providers to let us view your patients’ medical records and to supply supplemental data from your electronic medical record (EMR) systems to ensure we capture all the pertinent information regarding your patients’ care. These PowerPoints provide the when, where, and how.
Contact your provider network relationship manager for more information. You may also email the Quality team at quality_providerengagement@emblemhealth.com.
JP 62160 05/2023