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Quality And Transparency

Wellmark is providing quality initiative and cost tools to help patients more effectively choose a provider, make more informed health care choices, and learn what is important when seeking health care.


The following tools were or are being implemented:

Collaboration on Quality

Learn how this incentive program rewards primary care clinicians for providing quality, efficient patient care.

  Patient Review of Providers

Find out how this patient review program equips patients with information they can use to select or evaluate a provider.

Healthcare Effectiveness Data and Information Set (HEDIS)

These performance measures allow consumers to compare health plan performance to other plans and to national or regional benchmarks. 

  Physician Quality Measurement Program

Find out more about this quality program that assists patients in selecting a provider based on clinician performance measurements.

Member Out-of-Pocket Cost Estimate Tool

Learn how this new tool helps patients understand the cost of their care and how it supports them in making informed health care decisions.


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