Purpose of the Quality Improvement (QI) Program

The purpose of the Healthier New Jersey Insurance Company d/b/a Braven Health QI Program is to systematically monitor, assess, track, trend and continuously improve the quality of care, service, health status and safety of its members. The QI Program is designed to be comprehensive and to have the necessary resources, infrastructure, and authority to meet the program’s goals and objectives. The program also monitors targeted accomplishments, including clinical standards to be developed, medical care evaluations to be completed, and other key quality assurance activities, including Medicare related quality activities. Braven Health has engaged Horizon BCBSNJ to operate the QI Program, leveraging the medical policy, quality, and service functions of Horizon BCBSNJ.