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Quality Improvement Program

Peach State Health Plan’s Quality Assessment and Performance Improvement (QAPI) Program is an important part of the Health Plan.  Quality is merged throughout the health plan and represents the strong commitment to the quality of care and services for members.  The program creates plans, carries out actions and review results to improve health outcomes as well as increase member and provider satisfaction.  The QI program monitors the quality of care and services provided by reviewing the following:

  • Cultural Needs of our Members
  • Member satisfaction
  • Health Plan services members are using
  • Involving Doctors in our planning

These activities are in line with our goals and objectives to:

  • Improve the health and health care provided to each member as individuals
  • Improve the health of all members enrolled in the plan
  • Lower costs

Members and providers continue to be satisfied with the Plan as reflected by the overall scores on surveys:

  • 2019 CAHPS Child Medicaid Survey – Overall Satisfaction with Peach State Health Plan = 89%
  • 2019 CAHPS Adult Medicaid Survey – Overall Satisfaction with Peach State Health Plan = 77%

To meet our goals, we look at how well we are serving you each year. This is what we did in 2018 to improve the quality of our services.

  • Continued to provide a variety of customer service training to  staff who assist members
  • Educated the OB/GYN community on the need for improvements in women’s care
  • Led focus group with members to identify what kept members from getting preventative care
  • Offered Peach State Days, which are “clinic days” at provider offices that allow members to receive  preventative services
  • Held monthly New Member Orientation sessions to meet, connect with and provide information about the health plan benefits

For questions or additional information about our QI Program and our progress on meeting goals, please call a customer service representative at 1-800-704-1484. Information and/ or a full copy of Peach State Health Plan’s current Quality Improvement Program Description is available upon request.

Each year we ask you to let us know how we are doing, you can also let us know during the year by calling us or sending us a letter.

Our mailing address is:

Peach State Health Plan
Attention: Quality Improvement
1100 Circle 75 Parkway
Suite 1100
Atlanta, GA 30339