Quality Improvement

We want to provide you with the best health care available. Our Quality Improvement Program looks at both the medical and non-medical services you receive. The Program is overseen by doctors, nurses and other people trained in quality. We use measurements to see how well we are doing in providing you quality care. Some of the areas of care we look at are:

  • Preventive health screenings, for example breast cancer screening.
  • How well we help you with handling long-term health conditions, such as asthma, diabetes and high blood pressure.
  • Making sure you receive care after being in the hospital for a behavioral health condition.

We also look at how quickly you are able to get an appointment to see your primary care provider (PCP) and make sure you received the right care for your health problem.

Preventive Health Guidelines

CareSource uses national preventive health guidelines to help members learn about health prevention. These guidelines help members get the health screenings and exams that they need. Learn more about the preventive care guidelines.

CareSource may also call or send members information on health care checkups and screenings you may need.

Members with a long-term health conditions should:

  • See their primary care provider (PCP) regularly,
  • Follow the instructions given to you by your PCP, and
  • Take the medicines their PCP has ordered.

Members can call the CareSource24® Nurse Advice Line number on their CareSource member ID card 24/7/365 to talk with a registered nurse. For more information on CareSource Quality Improvement, please call Member Services.