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Medicare Providers

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Quality

The Quality Improvement Program includes initiatives to ensure that members are receiving age-appropriate preventive health screenings and interventions to optimize health.

The information on this page provides useful information and tools for managing patient care based on industry-standard clinical practice guidelines.

Preventive Depression Screening Program

This program promotes collaboration, continuity and coordination between medical and behavioral health care.


New: HEDIS Measurement Year 2024 Toolkit

HEDIS® Measurement Year Adult Pocket Guide 2024

HEDIS® Measurement Year Adult Pocket Guide 2024

HEDIS Measurement Year 2023 Toolkit

HEDIS® Measurement Year Adult Pocket Guide 2023

HEDIS® Measurement Year Adult Pocket Guide 2023

HEDIS® At-a-Glance STARS Measures

Quality Measures

Social determinants influence health in very direct ways. A patient’s housing, food, and safety needs can create barriers blocking quality care and can contribute to poor health.

Controlling Blood Pressure Flyer

OMW – Osteoporosis Management Flyer

Use this tip sheet for best practices on how to talk to your patients about why they need to maintain adherence and how to track their medications.

Examples of Centers for Medicare and Medicaid Services Star measures which use statin therapy to evaluate health plans.

Medicare Incentive Programs

Unlock the Benefits of Partnership!

Primary care providers have the opportunity to earn a bonus by addressing preventive care and closing care gaps.

CAHPS and HOS Resources

CAHPS (Consumer Assessment of Healthcare Providers and Systems) Resource Guide

Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey tool that asks patients to evaluate their experience with their health plan and at providers’ offices.

HOS Health Outcomes Survey


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Last Updated On: 5/14/2024
Wellcare will be performing maintenance on Saturday, December 21, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us. ×