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Providing you with quality service
Providing you with quality service
We want to make sure you get the highest quality of care when you need it. We partner with local providers who understand your needs. And the National Committee for Quality Assurance (NCQA) continues to accredit us. Aetna Better Health of Oklahoma® has a history of providing high-quality member care, as shown by:
Clinical quality surveys
Member satisfaction surveys
NCQA surveys
Healthcare Effectiveness Data and Information Set (HEDIS®) scores
We want to improve access to quality health care for our members. You have a large network of providers to help you stay your healthiest. This includes:
Obstetrician/gynecologists (Ob/Gyns)
Pediatricians
Top hospitals
Community groups
HEDIS scores help us make sure we’re meeting our goals for improving access to quality health care. Aetna Better Health of Oklahoma has submitted an application and is currently completing the NCQA Health Equity Accreditation process for 2024. In addition, Aetna Better Health of Oklahoma is actively pursuing NCQA Health Equity Accreditation for 2025. You can learn more about HEDIS on the NCQA website.
Our goals and objectives
Our goals and objectives
The goals of the Quality Improvement program are to:
Promote and build quality into the daily plan operations and policies
Continue to check and assess your needs, care and services to make sure you’re getting quality care at the right time
Find areas to improve and act on them
Encourage patient safety with seasonal messages to you, like flu mailers
Make sure we meet or go beyond the highest quality by following local, state and federal regulatory requirements and accreditation standards
Provide support for the things that affect health, like rides, food and housing support
Our services
Our services
The program provides many services, which include:
- Offering extra benefits to encourage wellness, including a preventive care rewards program
- Sending you helpful postcards and newsletters about your health
- Reviewing primary care provider offices to make sure they meet state standards
- Reviewing the quality of our services
- Reminding you and your provider about preventive health care
- Measuring your satisfaction with your provider and health care services
- Scanning phone calls to ensure that we answer your call quickly and that you get the correct info
- Working with your providers to ensure they get all the info they need from us to provide you with quality care
- Offering health programs, including info about chronic illnesses and one-on-one support for social determinants of health (conditions in the places where you live, learn, work, and play that affect your health)
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).