Healthcare Glossary


Quality Quest for Health of Illinois

Insurance Companies & Health Plans

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What does quality healthcare mean for health plans and insurance companies? It means knowing how often the people they insure receive care that is consistent with evidence-based best practices. It means having the ability to recognize and reward practices that are doing a good job of delivering high quality care. And it means having access to the information members need to make better, smarter healthcare choices.

Why should health plans and insurance companies care?

Health plans and insurance companies have two audiences to satisfy—members who use healthcare, and employers who pay for it. By working to raise the quality bar for healthcare in our state, and helping everyone get a greater value for the money they spend, they will better satisfy both of these audiences.

How does Quest fit in?

Quality Quest for Health of Illinois helps health plans and insurance companies become more appealing to employers—providing the information they need to help employees identify practices that have shown they follow evidence-based care standards and deliver quality healthcare. We serve as the authoritative source on provider performance, measuring their adherence to care standards based on the most current science, and comparing them to other providers to identify those who deliver the highest quality care.

Together we can improve healthcare

Health plans and insurance companies can participate in this effort by sharing data so that Quest can measure success and track progress, helping to create a neutral authoritative source of information on how providers are meeting current care standards. This helps patients and families select providers who are best for them—those healthcare professionals who adhere to current care standards and who are proven to deliver high-quality care. Health plans and insurance companies can assist by providing funding to help Quest continue and grow.




Evidence is information that is used to determine or demonstrate the truth of an assertion.  In the field of health, Evidence is collected in an orderly way to help us understand what to do.  This information can come from medical research.
Evidence is information that is used to determine or demonstrate the truth of an assertion.  In the field of health, Evidence is collected in an orderly way to help us understand what to do.  This information can come from medical research.
A Provider is a professional engaged in the delivery of health services, including physicians, dentists, nurses, podiatrists, optometrists, clinical psychologists, etc. Hospitals and long-term care facilities are also Providers. The Medicare program uses the term "Provider" more narrowly, to mean participating institutions: hospitals, skilled nursing facilities, home health agencies, etc.