Model of Care

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Model of Care is short for the BlueCare Plus Tennessee 2016 Model of Care and Quality Improvement Program Plan. This is our plan for continuing to improve how we take care of your health care needs. Every year we must measure and report how we’re doing. In 2016, we successfully met our overall goals. Our successes included:

  • Centers for Medicare & Medicaid Services (CMS) approval for Quality Improvement Project (QIP) to be put into practice in 2016
  • Reviewed and put into practice information and ideas from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Provider Satisfaction Surveys
  • Enrolled 82 percent of membership in Care Coordination
  • Put into practice a Readmission Prevention Program in Hamilton and Shelby counties and surrounding areas. Program includes a hospital visit during admission and home visits after discharge

The 2016 BlueCare Plus Model of Care & Quality Improvement Program Plan Evaluation was reviewed and approved by the BlueCare Tennessee Board of Directors on July 15, 2016.


This page was updated on October 1, 2018