Blue Cross and Blue Shield of Texas has a Quality Improvement program to better serve our members. The program focuses on preventive health, behavioral health, patient safety and condition management. By collaborating with physicians, providers and health care professionals, the program helps promote safe and appropriate care. It also encourages the efficient use of resources, which ultimately helps reduce health care costs and can improve member satisfaction with their health plan.
The Quality Improvement program includes many activities to develop, review and monitor services provided, including, but not limited to:
Member care and service are evaluated on a regular basis to determine whether members are receiving appropriate care and service, and that they are satisfied with their health plan.
Information regarding the Quality Improvement program is available in the Physician and Provider Manuals. These manuals are available at bcbstx.com/provider under Standards & Requirements/Manuals. To receive a written summary of the Quality Improvement program, which includes outcomes, please call the Quality Improvement Programs department at 800-863-9798.