Quality Improvement

Program Purpose

CareSource’s Quality Improvement (QI) Program design is to ensure the organization delivers on all aspects of care delivery for CareSource members based on their unique needs.

We monitor, analyze and identify opportunities for improvement across the comprehensive span of health care continuum using standardized metrics such as:

  • Healthcare Effectiveness Data and Information Set (HEDIS)
  • Qualified Health Plan Enrollee Experience Survey
  • Provider Satisfaction Survey results
  • Over and underutilization patterns and trends

Contact Us

If you would like more information about CareSource Quality Improvement, please call Provider Services Monday through Friday, 8 a.m. to 6 p.m. Pacific Time (PT) at 1-833-230-2101.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).