Planting the seeds for measurable quality improvement across CareOregon’s population

Health plans across the country already expend significant energy on seasonal quality reporting requirements. With quality metrics increasingly tied to financial success, the importance of both a successful submission process and continued performance improvement has only grown.

CareOregon, a non-profit health plan headquartered in Portland, has achieved significant quality outcomes across its Medicaid and Medicare Advantage populations. This has been accomplished through a year-round, proactive quality measurement process and by using this data to inform a team-based approach to closing gaps in care.

Our new case study showcases CareOregon’s success in transforming its annual quality reporting into a true strategic advantage, including:

  • The use of proactive data runs to identify gaps in care
  • Strategies to empower care teams with data to address quality gaps
  • Measured outcomes, including improved HEDIS results

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

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