Quality Performance

At IEHP, quality means focusing on the healthcare needs of our members and supporting our providers. We are committed to quality, driving us to create programs and services to meet the needs of our members and providers.

In fact, IEHP is one of the top-rated Medicaid plans in California. Determined by both the Healthcare Effectiveness Data and Information Set (HEDIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS), NCQA has awarded IEHP an Accreditation status for Medi-Cal. This status is only given to health plans that have clinical and service programs that meet or exceed NCQA standards.

Learn more about how IEHP delivers quality services and care below. 

Inside the 2024 Quality Report, you will find we are on “A Mission to Heal and Inspire.” Through the lens of critical measures summarizing our performance over the past year, you can learn more about IEHP’s quality journey. We also show how the data translates into tangible outcomes for our members, providers and team members via the heartwarming features and stories of hope. While there were many areas where we excelled, there were also places where we found opportunities for improvement.

The goal of all IEHP quality reports is to be transparent – with you and with ourselves. This journey is ongoing, and we hope to always learn from it so we can do better and be better for those who rely on us the most.

• 2024 Annual Quality Report (PDF)
• 2023 Annual Quality Report (PDF)
• 2022 Annual Quality Report (PDF)
• 2020 Annual Quality Report (PDF)

IEHP supports an active, ongoing, and comprehensive quality management program with the primary goal of continuously monitoring and improving the quality of care, access to care, patient safety, and quality of services delivered to IEHP Members. The Quality Management (QM) Program provides a formal process to systematically monitor and objectively evaluate, track and trend the health plan’s quality, efficiency and effectiveness.

Quality Management Evaluation

• 2023 Quality Management Annual Evaluation (PDF)

Quality Management Program Description

• 2024 Quality Management Program Description (PDF)

Every year, IEHP assesses the overall quality of health care experienced by IEHP members. To achieve this IEHP uses  NCQA, a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS® which provides:

• a set of standardized performance measures based on statistically valid samples of members
• the public with information to compare health plan performance

HEDIS Rate:

• 2023 Medi-Cal HEDIS Rates (PDF)
• 2023 Medicare HEDIS Rates (PDF)

IEHP values a strong partnership with our providers. To support them we offer many services from online support, to a call center, to a dedicated service representative. That's why doctors think highly of IEHP. In fact, according to the 2023 Provider Satisfaction Survey conducted by SPH Analytics, 98.2% of physicians would recommend IEHP to other physicians.

• See the full results of the 2023 Provider Satisfaction Survey (PDF).

Every year, IEHP sends out a Population Assessment Survey to IEHP Members to learn more about their needs. View the results below. 

• 2020 Population Needs Assessment Results 

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