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Quality Improvement Program High-quality health care is a priority at UPMC Health Plan. That is why UPMC Health Plan and its providers collaborate in a unique partnership that combines delivery of health care and financial accountability. We meet with hospital CEOs to review outcomes and compare performance across the network. Then we work together on action plans that lead to overall enhancements in service.We believe that if we give doctors the right information, they will make the right decisions. We supply a continuous flow of clinical education tools and guidelines to help doctors streamline costs while delivering top-quality care. Our Quality Improvement Program, in collaboration with practitioners in the Health Plan network, operates according to guidelines established by the National Committee for Quality Assurance (NCQA). Areas of focus include quality management and improvement, credentialing and recredentialing of physicians/providers, utilization management, member rights and responsibilities, and preventive health care. If you would like to obtain hard copies of information about our Quality Improvement Program, or if you have suggestions for improving our Quality Improvement Program, please contact: Quality ImprovementFor the behavioral health Quality Improvement department, please contact: Quality Improvement Coordinator |
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