Anthem Blue Cross 2001 Annual Report Download - page 16

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Taking Great Strides:
Improving the health of our members
For the 7.9 million people who rely on Anthem Blue
Cross and Blue Shield for their health benefits, one
thing is paramount: that they receive the highest quality
care from our network physicians and hospitals. Our
customers and their families also benefit from ongoing
quality improvement programs designed to assure the
delivery of appropriate care at the right time in the
appropriate clinical setting.
We rely extensively on third-party measures
of the quality of our health plans, and those measures
showed increasingly positive results this year:
•Our health plans in Connecticut, New Hampshire,
Maine and Colorado continued to hold accreditation
from the National Committee on Quality Assurance
(NCQA), the nation’s most respected managed
care-accrediting organization. The Connecticut,
New Hampshire and Maine plans hold the coveted
“Excellent” designation, the highest level awarded
by the NCQA.
•Our Ohio health plan sought and received NCQA
accreditation with the “Excellent” designation
for its combined HMO and Point of Service
products, which serve more than 700,000 members.
We received accreditation with the “Commendable”
designation for Anthem Senior Advantage, our
Medicare + Choice program.
•Each of our states continued to work with NCQA and
to focus on programs that meet high quality standards
and meet or surpass the needs of our members.
•Our Health Employer Data Information Set
(HEDIS®) scores improved across all of our health
plans. HEDIS scores are a nationally recognized
measure of success in preventive care programs. Our
plans in Connecticut, New Hampshire and Maine
achieved “Best in Class” or “Top Performer” designation
in two or more preventive care measurements.
•Anthem Midwest, our plans in Indiana, Ohio and
Kentucky, once again earned the HERA award from
the National Managed Health Care Congress and
the pharmaceutical company, Wyeth-Ayerst, for an
innovative program that makes physicians aware of the
need to screen prospective mothers for the HIV virus.
Some of our health improvement programs
reached beyond our own members to make positive
contributions to the health of the general population.
In Connecticut, we worked with school nurses
throughout the state to develop a program to identify
and treat children most at risk for asthma. In Colorado,
we worked with the State Department of Public
Health and other health plans to educate patients on
the dangers of overuse of antibiotics.
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