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Quality of Care


CenCal Health staff works with our provider network to improve the quality of care received by our members. We monitor our performance through member and provider surveys, as well as annual HEDIS® audits.

We identify performance barriers where delivery of appropriate or timely care falls short of meeting national benchmarks. Once barriers are identified, our Population Health team develops improvement and intervention plans to ensure members receive timely, appropriate, and high quality care.

CenCal Health also aims to provide our contracted providers with the tools and information they need to deliver high quality health care to our members. Please refer to the pages within this section for more information.

HEDIS® Measurement Year 2022 Quality of Care Results

CenCal Health would like to thank providers for their support during the HEDIS® MY2022 Quality of Care Compliance Audit™, which evaluated effectiveness of care, access and availability, and other important aspects of care and service. Below are the results for the period ending December 31, 2022.

The HEDIS Report 

MY2022 HEDIS Results

MY2022 Non-HEDIS Results

MY2022 Race & Ethnicity Results

MY2021 Non-HEDIS Results

MY2021 HEDIS Results

MY2020 Quality of Care

1 HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare health care quality.

2 NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).