Quality Assurance

At Blue Cross Blue Shield of Massachusetts, your health is our top priority. To ensure the care you receive meets the highest possible standards, we've undertaken several quality initiatives, including:

Primary Care Incentives and Hospital Quality Improvement

Our Primary Care Physician Incentive Plan and Hospital Quality Improvement Plan allow both providers and hospitals to participate in an incentive program that rewards them for meeting certain nationally-recognized quality standards and patient safety goals. Doctors must choose to participate in this program, and you can check to see if your physician group participates by using our Find A Doctor feature.

Quality Improvement Initiatives

Every year we implement new Quality Improvement Projects. We're pleased to announce that Blue Cross Blue Shield of Massachusetts has joined two national Quality Initiatives: Partnerships for Patients and Million Hearts Campaign. Partnerships for Patients is a three-year campaign with a goal of decreasing hospital readmissions. Million Hearts is a campaign to decrease the number of heart attacks and strokes by one million over the next five years.

Chronic Condition Management

Our Chronic Condition Management program is a voluntary service we offer at no cost to members who have one or more chronic health conditions. This program is designed to help members with the day-to-day management of conditions such as coronary artery disease, diabetes, and other chronic conditions. If you're invited to take part in this, you have the right to decide whether or not to participate, but we recommend you take full advantage of the assistance the program can provide.

This information isn't a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copyaments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.