Quality assurance

Anthem Blue Cross and Blue Shield (Anthem) maintains a comprehensive Quality Management (QM) program to objectively monitor and systematically evaluate the care and service provided to members. The scope and content of the program reflects the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service, with ongoing proactive evaluation and refinement of the program.

Quality improvement

The goal of Anthem is continuous, measurable improvement in the delivery of and access to high quality healthcare. We follow regulatory and accrediting body requirements to monitor and evaluate the quality, safety and appropriateness of the medical and behavioral healthcare services offered in our health network. See our Provider Manual for detailed information regarding our quality improvement programs.

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

Page Last Updated: 03/08/2024

Provider tools & resources

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