QA Program


We are committed to the provision of a well-designed and well-implemented Quality Assurance (QA) program. Our culture, systems and processes are structured around this mission to improve the health of all enrolled members.

Scope

The scope of the QA Program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to NextLevel Health’s members including medical, behavioral health, dental and vision care. We incorporate all demographic groups, care settings, and services in QA activities, including preventive care, emergency care, primary care, specialty care, acute care, short-term care, long-term care (depending upon NextLevel Health’s products), and ancillary services.

Goals & Objectives

Our primary quality improvement goal is to improve members’ health status through a variety of meaningful quality improvement activities implemented across all care settings and aimed at improving quality of care and services delivered.

Credentialing Standards

For consideration to participate in the NextLevel Health network, all licensed physicians and other licensed healthcare professionals who have an independent relationship with NextLevel Health must complete an application for participation and submit copies of applicable supporting documentation.

Cultural Competency Plan

NextLevel Health is committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That mission is supported by facilitating the process by which NextLevel Health can respond to the healthcare needs of all individuals, regardless of their ethnic, cultural, religious beliefs or language. Our Cultural Competency plan is reviewed and updated annually.

Participation in QA

NextLevel Health requires providers and practitioners to cooperate with all Quality Improvement activities, as well as allow the use of provider and/or practitioner performance data, to ensure the success of the QA Program. The NextLevel Health QA Program is outlined in the NextLevel Health Provider Handbook, page 22. If you are interested in learning more about NextLevel Health’s QA Program, please contact NextLevel Health at 833-ASK-NLHP (833-275-6547) and ask to speak with the Quality Improvement Department.