The Quartz Difference
Our Commitment to Quality
Quartz knows that our local roots and connections with our neighbors are what set us apart. That’s why quality care is one of our core organizational values, and we are committed to providing quality improvement programs to ensure that our members receive the best care possible.
We are proud to be accredited by the National Committee for Quality Assurance (NCQA), a non-profit organization that works to improve healthcare quality in the United States. NCQA evaluates health plans to ensure the highest standards are met. Our Commercial, Medicare, Medicaid, and Exchange products have all earned NCQA accreditation. The NCQA conducts regular reviews of accredited plans and provides a Health Plan Rating, updated annually in September.
NCQA accreditation – quality measures
There are three types of quality measures used to achieve NCQA accreditation
- To monitor clinical quality health plans must participate in the Healthcare Effectiveness Data and Information Set (HEDIS®). HEDIS includes more than 90 measures that monitor how well the plan can deliver care to members related to areas such as preventive care, management of conditions including diabetes and high blood pressure, as well as behavioral health needs.
- To monitor patient experience health plans must participate in the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey. The CAHPS survey was developed by the Agency for Healthcare Research and Quality. Each year, using this survey, health plans anonymously ask their members for feedback about their health care and health plans.
- Plans must also show that their operations meet NCQA’s expectations in these broad categories:
- Quality Management and Improvement
- Population Health Management
- Network Management
- Utilization Management
- Credentialing and Re-credentialing
- Member Experience
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.
Contact us
We’re here to help you find the right plan option that works for you and your family. Please contact Quartz Customer Success at (800) 362-3310, or if you have worked with an agent in the past, reach out to them with any questions on your 2024 Quartz plan options.