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Quality Improvement Program

The Quality Improvement Program* describes how Lighthouse Health Plan works to improve member health by providing high quality health care.  We can achieve this through:

•    Checking our provider network to make sure you have access to qualified PCPs and specialists.
•    Helping members schedule doctor visits
•    Promoting patient safety through member and provider education
•    Taking action when quality care has not been provided
•    Review of quality care through the Healthcare Effectiveness Data and Information Set (HEDIS®) scores which tell us if members are receiving the type of care they need.

Check out our HEDIS® results here.

•    Review of member satisfaction through the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey scores.  These scores tell us if you are happy with your care, providers, and the plan.

Check out our CAHPS® results here.

* You may call Member Services or talk to your case manager to request a printed copy of our Quality Improvement Program.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). 
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).