Quality of Care

CenCal Health staff strives to improve the quality of care received by its members. We monitor our performance through member and provider surveys, as well as annual HEDIS audits.

We identify barriers that may have prevented delivery of appropriate or timely care for areas where our performance falls short of national benchmarks. Once any barriers are identified, interventions are implemented by the Population Health team and other staff to ensure members receive timely, appropriate, and high quality care.

CenCal Health also aims to provide our contracted providers with the tools and information they need to deliver high quality health care to our members. Please refer to the pages within this section for more information.

HEDIS^® MY2021 Quality of Care Results

CenCal Health would like to thank providers for their support during the HEDIS^® MY2021 Quality of Care Compliance Audit™, which evaluated effectiveness of care, access and availability, and other important aspects of care and service. Below are the results for the period ending December 31, 2021.

Downloads:

MY2021 HEDIS Results

MY2021 Non-HEDIS Results

MY2020 Quality of Care

^{1 HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare health care quality.}

^{2 NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).}