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Quality Care

At Blue Cross Blue Shield of Massachusetts, we're committed to ensuring that our members get the best care. That it is...

  • Effective
  • Efficient
  • Equitable
  • Patient-Centered
  • Safe
  • Timely

And delivered in the most appropriate setting.

This approach to ensuring quality health care for our members involves every area of our company, as well as our network of doctors and hospitals, the employer community, and local and national policymakers. Through innovation and collaboration, we are improving the health of our nearly 3 million members and advancing the health system to provide effective, affordable care.

The National Committee for Quality Excellence (NCQA), a national organization that evaluates the quality of health plans, consistently rates us Excellent. Recently, NCQA named us a Top Performer in Quality for providing superior care to patients with heart conditions. NCQA's Health Insurance Plan Rankings 2013-2014 found that we are America's #3-ranked private health plan1 and the top-ranked Medicare Advantage PPO health plan2 in the country. We are also among the highest-rated PPO private health plans1 and Medicare HMO2 plans in the nation.

Further, our Medicare Advantage HMO and PPO products received 4.5 out of 5 Stars in the Center for Medicare & Medicaid Services 2014 Star ratings, which means that we're also providing high-quality care for our Medicare members.3

To find out more about:

  • The strategic building blocks of our quality program
  • How clinical, technical and operational excellence drive our health care strategy
  • How our relationships with members and providers, and our innovative products support the delivery of effective, affordable, patient-centered care

Read our pdf Quality Care white paper.




1 NCQA Health Insurance Plan Rankings 2013-2014 - Private
2 NCQA Health Insurance Plan Rankings 2013-2014 - Medicare
3 Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.


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