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Blue Cross Recognizes Top Performers in Quality Blue Program

Courtesy of Blue Cross and Blue Shield

Providers, clinics in value-based care model work to improve health and lower costs

Posted: Nov 18, 2020 8:52 AM

BATON ROUGE, La. – Blue Cross and Blue Shield of Louisiana recognized clinics and primary care providers statewide for their performance in the insurer’s Quality Blue value-based care program.

“In Quality Blue, we work closely with provider partners around the state to get better outcomes for our shared customers – their patients, our members,” said David Hochheiser, Blue Cross senior vice president of Provider Networks and Healthcare Value. “In the seven years since we began Quality Blue, our shared focus on care coordination, managing chronic conditions and financially rewarding providers for taking extra steps to keep their patients healthy has led to improved health and lives.”
In Quality Blue, Blue Cross establishes clinical quality measures for four chronic conditions that are common in Louisiana – diabetes, heart disease, high blood pressure and kidney disease – that track patients’ health improvements over time. For example, providers are tracked to see how many of their patients have blood pressure or blood sugar readings in a healthy range, are taking medication as directed, or are not smoking.
Blue Cross supports primary care practices that participate in Quality Blue with training, tools and support – including hands-on help from Blue Cross’ own staff. Blue Cross shares health data securely with Quality Blue primary care providers. This helps the providers identify which of their patients are most in need of interventions like preventive screenings, tests or referrals for health coaching with Blue Cross’ in-house team of clinicians. It also lets Blue Cross and providers work together to close gaps in care and prevent hospital admissions, emergency department visits and other intense, high-cost treatment needs.
At its annual Quality Blue Statewide Collaborative on Nov. 10, Blue Cross recognized clinics with the highest achievement in the program for 2020. Normally, Blue Cross would host an in-person event, but because of the COVID-19 pandemic, this year’s collaborative was virtual.
Blue Cross recognized three clinics with the highest scores on Quality Blue’s clinical quality measures for treating patients with three of the program’s targeted chronic conditions:
· Highest Achievement in Hypertension Care: Health Leaders Network, Lourdes Physician Group – Kaliste Saloom Road (Lafayette)

· Highest Achievement in Vascular Care: Gulf South Quality Network (GSQN) of Southwest Louisiana; MMG Internal Medicine Clinic – Nelson Road (Lake Charles)

· Highest Achievement in Kidney Care: Health Leaders Network, Lourdes Physician Group – Kaliste Saloom Road (Lafayette)
Because of changes to the Quality Blue program measures that took effect earlier this year, there was no Highest Achievement award presented for Diabetes Care.
Blue Cross also recognized two clinics that made the greatest overall improvements on the quality care measures with a 2020 Momentum Award:
· Kerry L. Anders, M.D. (Monroe)

· Family Clinic, Inc. (Opelousas)
For more information about Quality Blue and to see a list of all Top Performers, including 81 individual providers, visit www.bcbsla.com/QBPC.

You can visit the Blue Cross and Blue Shield of Louisiana YouTube page to see short videos with Blue Cross clinicians and other employees discussing various health topics. Subscribe to know when new videos are added. You can also connect with Blue Cross on social media for regular updates.

About Blue Cross and Blue Shield of Louisiana

Blue Cross and Blue Shield of Louisiana is committed to our mission to improve the health and lives of Louisianians. Founded in New Orleans in 1934, we are a tax-paying nonprofit health insurer with offices in every major region to serve our customers. We were recognized in 2019 and 2020 as an honoree of The Civic 50, named by Points of Light as one of the 50 most community-minded companies in the United States.
Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association. We are a private mutual company, owned by our policyholders, with an independent Louisiana Board of Directors and no shareholders. We invite all Louisianians to visit our website at www.bcbsla.com or talk to us on social media.

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