Quality and patient safety improvement

At Blue Shield, we care about the quality of service and care that our members receive. To assure continued quality, we participate in the following programs and initiatives. Read more about the programs below.

View 2019 quality program evaluation summary (PDF, 384 KB)

Mental Health Service Administration – quality improvement program (PDF, 28 KB)

Medical management program (PDF, 28 KB)

Quality improvement program for Blue Shield of California Promise Health Plan providers

Health management programs

Find out about Blue Shield of California's health management programs available to eligible members with certain chronic conditions.

Learn about our programs for Blue Shield of California members

Learn about population health management program for Blue Shield Promise Medicare and Medi-Cal members

Protecting member personal and health information

Read Blue Shield's policy for sharing and disclosing private member data.

Read policy

Evaluating new technologies: Medical Policy Committee on quality and technology

Review our process of evaluating coverage for new technologies and new applications of existing technologies.

Read more about our evaluation process

Utilization management procedures

Learn how Blue Shield makes utilization management decisions.

Learn more about procedures for Blue Shield of California providers

Review utilization management guidelines for Blue Shield of California Promise Health Plan providers

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