Specialty Care Insight

Blue Cross and Blue Shield of Louisiana is implementing the Specialty Care Insight program, making information about cost and quality more transparent to specialty providers in our network. Blue Cross will give physicians in certain specialties data that can help them identify effective strategies to reduce use of low-value, high-cost services where they may exist, while assessing quality-of-care metrics.

Blue Cross is holding live webinars for providers in the cardiology, orthopedic, otolaryngology, urology and gastroenterology specialty on Sept. 17, 23 and 24 to further describe the program.

Videos

Video 1: Blue Cross and Blue Shield of Louisiana Strategic Update and Overview
Dr. Paul D. Murphree, Medical Director of Quality and Informatics, BCBSLA
This video gives an overview of the need for cost and quality data sharing with providers, and an explanation of why Blue Cross created the Specialty Care Insight program.
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Video 2: CCGroup Marketbasket System™: Efficiency and Effectiveness Methodology, Part 1
Doug Cave, Ph.D., President of CCGroup
This video gives an overview of the CCGroup’s analytics tool used to generate efficiency and effectiveness data for the Specialty Care Insight reports.
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Video 3: CCGroup Marketbasket System™: Efficiency and Effectiveness Methodology, Part 2
Doug Cave, Ph.D., President of CCGroup
This video is the follow up to the previous video, giving an overview of the CCGroup’s analytics tool used to generate efficiency and effectiveness data for the Specialty Care Insight reports.
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Video 4: Efficiency and Effectiveness Reports
Doug Cave, Ph.D., President of CCGroup
This video will assist providers in reading their Specialty Care Insight reports, and provide assistance in understanding how to interpret the program data.
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Video 5: Improve Unwarranted Practice Variations
Dr. John Rootenberg, Senior Medical Director and Sr. VP of Clinical Strategy at CCGroup, Inc.
This video describes how providers can use the Specialty Care Insight reports’ data to identify strengths to build on, target areas for improvement and develop action plans around specific indicators.
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Contact Information

Providers who have questions about this program can contact Blue Provider Relations at provider.relations@bcbsla.com or 1-800-716-2299, option 4.