Specialty Care Provider Orientation - MetroPlus Health Plan

Quality Management• MetroPlus is committed to providing comprehensive, patient-centered,quality health care­ MetroPlus strives to establish a coordinated, cost effective medicaldelivery system which is timely and appropriate for Member needs• MetroPlus collects and analyzes data for HEDIS and QARR annually­ Quality Assurance Reporting Requirements (QARR) for CHP, FHPand Medicaid products­ Healthcare Effectiveness Data and Information Set (HEDIS) forMedicare products­ Providers are required to assist with collecting data as needed• Quality of Care­ MetroPlus uses QARR and HEDIS results to identifyaccomplishments and areas for improvement­ If there is an area for improvement, MetroPlus collaborates withproviders to develop and implement quality improvement projects18