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Quality Management

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MedPOINT (MPM) supports a comprehensive Quality Management Program. The overarching goal is to objectively and systematically monitor and evaluate the quality, appropriateness, and outcome of care and services delivered to members in MPM’s contracted groups. 

A formal evaluation of the Quality Management program is continuously performed and documented annually. The Program itself is strongly focused on member-centric care and patient-provider relationships while evaluating data-driven decision making throughout the organization.

 

Performance metrics, including HEDIS® and STAR measure improvement is the cornerstone of the Quality Management program. Using our HEDIS® engine, Cozeva, quality specialists are able to improve quality metric scores and recommend best practice initiatives. Data is ingested weekly offering real-time visibility to contracted providers.

 

The Quality Management department is comprised on several integrated teams with their own leadership support:

 

  • Client support center (member and provider services)
  • HEDIS®/STAR performance metrics
  • Cultural and linguistic services
  • HCC Coding
  • Grievance and Appeals
  • Credentialing

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