Quality in Action

Enhancing patient care through best practices

We're dedicated to empowering providers with the knowledge and tools necessary to improve patient outcomes. In this section, you can:

  • Discover how you can partner with us to elevate the standard of care and make a more meaningful difference in the lives of your patients.
  • Explore our best practices newsfeed, as well as links to our quality programs, toolkits and publications.

Best practices to improve patient care

October 2025

$0 medication copays for Medicare Advantage members
Switching your patient to a Tier 1 medication can reduce financial barriers and improve medication adherence.


Help patients achieve a healthy weight
By initiating conversations about weight management, you can empower your patients to improve their overall health and reduce their risk of chronic conditions.


Resources for empowering your patients with diabetes
As a health care provider, you play a vital role in helping your patients manage diabetes. View best practices and resources for you and your patients.


Screen for SAD during regular exams
About 5% of people in the U.S. experience seasonal affective disorder (SAD). As we enter the season when SAD is most prevalent, initiating patient screenings now can help ensure early diagnosis and prompt treatment.


September 2025

Closing the gap in early breast cancer detection
October is National Breast Cancer Awareness Month—learn how health care providers can help close screening gaps and ensure all women have access to life-saving early detection through mammography.


Help your patients save on medications while boosting adherence
Regence Medicare Advantage members with pharmacy benefits can manage their expenses and better comply with their medication plan by using these options.


The importance of medication reviews
Help your patients avoid duplicate therapy or potentially adverse interactions by reviewing their medications regularly.


August 2025

Evidence-based bronchitis care for BCBS FEP patients
Learn effective communication strategies and evidence-based solutions to help reduce unnecessary antibiotic prescribing for viral bronchitis while meeting patient expectations.


Screening for behavioral health conditions in primary care
We encourage PCPs to include behavioral health screening during both preventive and non-preventive encounters. To support PCPs, our Behavioral Health Toolkit includes screening tools and information about our broad range of in-network, virtual behavioral health providers.


July 2025

Childhood immunizations and timely vaccination
On-time vaccination throughout childhood provides immunity before children are exposed to potentially life-threatening diseases. As a provider, you are a trusted educator for parents and caregivers about the importance of following recommended vaccination schedules.


Closing a critical gap in antipsychotic care
We know that antipsychotic medications place patients at significantly greater risk for metabolic complications, particularly diabetes and cardiovascular disease. Metabolic monitoring requires additional coordination between primary care and psychiatry—coordination that too often breaks down, leaving patients at risk.


Convenient care options to optimize UTI care
As we continue to prioritize our members' health and well-being, we want to highlight the various care options available to them for quickly and effectively addressing urinary tract infections (UTIs). Leveraging these convenient alternatives can reduce unnecessary emergency room visits and ensure the right care at the right time.


eGFR and uACR testing in diabetes care
Completing estimated glomerular filtration rate (eGFR) and urinary albumin-to-creatinine ratio (uACR) testing with dates of service four days or less apart can significantly impact patient outcomes.


Getting ready for flu season
Tips to consider for your patients as we approach flu season.


National Immunization Awareness Month
August marks National Immunization Awareness Month (NIAM), which highlights the critical importance of routine vaccinations across all age groups. As a provider, your role in promoting immunization is invaluable to community health.


June 2025

Addressing urinary incontinence with your patients
Urinary incontinence can significantly impact a person’s quality of life. Initiating conversations about this sensitive health topic can help normalize the dialogue and improve your patients’ lives.


Fall prevention: How you can help
The discussions you have with our members can help them prevent falls and fall-related injuries.


Osteoporosis management
If your patient has had a fracture, order a bone mineral density (BMD) test or prescribe osteoporosis treatment within six months for better bone health and long-term fracture prevention.


May 2025

Help increase post discharge care rates
Members who see a behavioral health clinician within seven days of discharge have improved outcomes. Care coordination and telehealth can help you ensure members receive timely care.


Improving Health Outcomes Survey responses
Health Outcomes Survey season starts soon. Take action now to improve your patients’ experience and outcomes.


Supporting wellness through routine checkups
Learn how to support patient wellness through regular checkups and preventive screenings, as well as tips for billing annual wellness visits.


Test result follow-up processes impact patient satisfaction
Small changes in test result management can lead to big improvements in patient satisfaction, safety and practice efficiency.


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Quality Program

When you share cost and quality data with our members—your patients—they can make more informed health care decisions. Our cost and quality tools and resources support our commitment to ongoing quality care for our members.

Explore our Quality Program
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Quality Incentive Programs

Earn incentives when you partner with us to address gaps in patient care, focus on delivering an outstanding member experience and submit high-quality data resulting in improved health outcomes for our Individual on-exchange and Medicare Advantage members.

Resources

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Health Equity Toolkit

Resources to develop and improve your cultural competency and health literacy practices.

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Quality Improvement Toolkit

Resources to help you improve the member experience and patient outcomes.

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Behavioral Health Toolkit

Support for PCPs, behavioral health clinicians and members.

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Quality Measures Guide

Learn about the quality and member experience measures that we track for various programs and annual reporting. This guide includes specifications for measures.

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The Connection

Read our newsletter for updates about our quality programs, tools and resources to improve patient care. Subscribe to stay up to date.