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Quality

Health Plan of Nevada (HPN) maintains an ongoing quality program dedicated to help improve the quality of health care and services for its health plan members. The goals of HPN's quality program is to:

  • Measure, monitor, and analyze the outcomes of health care and services received by health plan members.
  • Plan and carry out focused quality initiatives for health plan members and providers.

Each year, HPN creates a quality improvement work plan and continuously evaluates the results of the health plan's efforts. The status and results of quality improvement initiatives are reported to and monitored by the health plan's Quality Improvement Committee. Members of the Quality Improvement Committee include health plan staff and physicians in the health plan's network. The annual evaluation of the Quality Program is also reviewed and approved by the health plan's Board of Directors.

Health Plan of Nevada (HPN) is committed to maintaining a strong relationship with its members and treating members in a manner that respects their rights and promotes effective health care. To this end, HPN has established Members’ Rights and Responsibilities for its Medicare Advantage and Federal Employee member populations as listed in your membership materials and below.

If you have any comments or questions about HPN's Quality Program and ongoing quality initiatives, please contact the Quality Improvement department at 702-242-7735 or contact Customer Service toll-free at 1-800-650-6232, TTY 711. Customer Service hours: October 1 through February 14: 7 days a week, 8 a.m. to 8 p.m. local time. February 15 through September 30: Monday through Friday, 8 a.m. to 8 p.m. local time. On Saturday, Sunday and holidays, please leave a detailed message and a representative will return your call within a business day.