Jan. 8, 2014
Blue Cross and Blue Shield of Louisiana has promoted Dr. David Carmouche to the position of executive vice president of external operations and chief medical officer. Carmouche previously was senior vice president and chief medical officer for the state’s oldest and largest health insurer.
Mike Reitz, Blue Cross president and CEO, said that in his new position Carmouche will play a larger role in coordinating and executing corporate strategy.
In addition to heading up Blue Cross’ Clinical Solutions division, Carmouche now will lead and have the support of the Network Administration and Sales and Marketing divisions. He will continue leading the company’s medical staff in its efforts to promote health and wellness, implement population health strategies to more effectively manage chronic diseases, promote clinical quality and assist in the transformation of the healthcare delivery system and its payment structure.
As a member of the company’s Senior Management Team, Carmouche will continue to provide strategic leadership in the development of medical policy, cost and transparency initiatives and value-based clinical improvement programs.
“This realignment will help Blue Cross continue to provide our members with high-quality service while significantly improving how we execute our mission: to provide Louisianians with affordable access to quality healthcare,” said Reitz.
Carmouche joined Blue Cross in September 2012 as senior vice president and chief medical officer after spending 15 years in internal medicine practice at the Baton Rouge Clinic. He brought with him both interest and experience in preventing and managing chronic illnesses, improving quality and transforming healthcare delivery. In his first year at Blue Cross, he began communicating actively on Twitter (@DrCarmouche) and launched a LinkedIn group called the Louisiana Quality Care Network, where healthcare professionals share information and best practices.
He also led the creation of Quality Blue Primary Care (QBPC), a population health management program designed to engage providers, members and employers to work with Blue Cross in improving healthcare quality while lowering overall medical costs. To date, more than 400 network primary care physicians have agreed to participate in QBPC, and together, these physicians provide care to more than 200,000 Blue Cross members.
In QBPC, the company makes patients’ health information (based on their claims data) available to participating clinics, and Blue Cross nurses follow up with patients between appointments so both the doctors and patients can have more focused office visits.
“Quality Blue Primary Care is the next generation of population health management,” Carmouche said. “It allows us to embed what we do, and do well, into the providers’ world so we can work together. We can support our network physicians and help our mutual customers—their patients, our members—get better health outcomes.”
Carmouche added, “Our changing healthcare landscape present challenges, but this care model puts us ahead of the curve in helping people get the right care at the right time and giving them the support to be as healthy as they can be.”
Carmouche earned his bachelor’s degree at Tulane University and his medical degree at LSU before serving his internship and residency in internal medicine at the University of Alabama at Birmingham. He was chief resident and instructor in medicine at UAB in his last year there. He is board-certified in internal medicine and a specialist in clinical hypertension as well as a diplomate of the American Board of Clinical Lipidology.
In 2011, Dr. Carmouche was named a fellow of the National Lipid Association in recognition of his work in preventive cardiology. In 2012 and 2013, he participated in an international executive education course, Managing Health Care Delivery, at Harvard Business School with some of the top thought leaders in American medicine and business.
About Blue Cross and Blue Shield of Louisiana
Founded in New Orleans in 1934, Blue Cross and Blue Shield of Louisiana is a private, fully taxed mutual company, owned by policyholders—not shareholders. It is an independent licensee of the Blue Cross and Blue Shield Association and is governed by a Louisiana Board of Directors.
The company and its subsidiaries provide group and individual health insurance plans, life and disability insurance, group voluntary products and administrative services to Louisiana residents. With headquarters in Baton Rouge and eight district offices around the state, Blue Cross and Blue Shield of Louisiana is committed to improving the lives of its customers by providing them with health guidance and affordable access to quality care.
Learn more on the company’s website at www.bcbsla.com or visit its social media hub to connect via Facebook, Twitter and more.
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