June 7, 2013

Blue Cross Looks to Boost Customers' Health Affordably with New Quality Blue Program

Blue Cross and Blue Shield of Louisiana is transforming healthcare by rewarding quality. This year, Blue Cross introduces Quality Blue Primary Care. Blue Cross will now pay doctors for helping their sickest patients get well. In the past, insurance companies have paid doctors for simply seeing a patient. Now, Blue Cross will reward doctors for going the extra mile to keep patients healthy.

Blue Cross will roll out Quality Blue in stages over the next few years.  First, the company will focus on doctors and clinics treating the most patients with chronic health issues. These include diabetes and heart disease. Blue Cross wants to set up 10 clinics in Quality Blue this year.

Under the Quality Blue model, Blue Cross and doctors will work in sync. Both will share data to understand the health challenges patients face. For example, some patients may need help scheduling tests. 

A Quality Blue “navigator” will work with a “practice coordinator” at each doctor’s office. They will make sure each patient is ready for scheduled office visits.  They will also match patients with the support they need to get healthy.

Blue Cross nurses will work with patients between doctor visits.  These nurses will help patients follow their care plans.

To help launch Quality Blue, Blue Cross is paying for the software clinics need. Blue Cross is also giving doctors’ offices the technical and clinical guidance they need. The company’s goal is to roll out Quality Blue without disturbing work at the clinics. Quality Blue also pays doctors and clinics extra for helping patients reach health goals.

For more news about Quality Blue Primary Care, along with a video about the program featuring Blue Cross and Blue Shield of Louisiana Chief Medical Officer Dr. David Carmouche, visit www.bcbsla.com/qbpc.

About Blue Cross and Blue Shield of Louisiana
Founded in New Orleans in 1934, Blue Cross and Blue Shield of Louisiana is the oldest and largest Louisiana-based health insurance company. Blue Cross is a private, fully taxed mutual company, owned by policyholders—not shareholders—and governed by a local Board of Directors. It is an independent licensee of the Blue Cross and Blue Shield Association.

The company and its subsidiaries provide group and individual health insurance plans, life and disability insurance, group voluntary products and administrative services to more than one out of every four Louisiana residents. With headquarters in Baton Rouge and eight district offices, Blue Cross and Blue Shield of Louisiana employs more than 1,900 Louisianians who are 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 on Facebook at www.facebook.com/bluecrossla. Follow Blue Cross on Twitter at www.twitter.com/BCBSLA and CEO Mike Reitz at www.twitter.com/MikeReitzCEO