Blue Cross Getting Better Health Results for Customers

Oct. 29, 2015

BATON ROUGE, La. – More customers are getting better health results through Blue Cross and Blue Shield of Louisiana’s Quality Blue Primary Care program – designed to focus care on the patient, give primary care doctors better data and hold down costs.

Blue Cross leadership shared data that show the program is leading to strong improvements for chronic diseases common in Louisiana and delivering strong primary care at a lower monthly cost. This presentation was part of the second Quality Blue Primary Care Statewide Collaborative, Thursday, Oct. 29, at the Hilton Baton Rouge Capitol Center. The collaborative was accompanied by viewers from watch parties in Lafayette, Monroe, New Orleans and Shreveport. 

“Chronic illnesses affect more than half of Louisianians and account for almost 70 percent of healthcare expenses each year,” said Mike Reitz, Blue Cross president and chief executive officer. “Quality Blue is our answer to help people become and stay healthy, which keeps their out-of-pocket costs down. We are working with doctors and clinics to give our mutual customers strong primary care that’s focused on them.”

Blue Cross is the only health insurer in Louisiana to offer a patient-centered program like Quality Blue. It has expanded to include 656 primary care doctors treating nearly 180,000 Blue Cross customers, including more than 67,000 who have chronic illnesses. Because the Quality Blue program helps Blue Cross customers get coordinated care, health coaching and more preventive treatment, it is also holding down costs. Doct­ors are paid based on how effectively they work with their patients toward better outcomes.

Data collected from January 2015 to September 2015 show a 25% improvement on diabetes quality measures, a 31% improvement on hypertension quality measures, a 40% improvement on vascular disease quality measures and a greater than 69% improvement on chronic kidney disease measures.

Tulane University’s School of Public Health recently validated statistics from the first year of the program that show Blue Cross customers seeing Quality Blue doctors have lower monthly healthcare costs, fewer hospital stays and are seeing primary care doctors for treatment more often than other customers.

“The doctors and clinics in our Quality Blue program are working with us to deliver patient-centered, coordinated care that helps our customers improve and maintain their health,” said Dr. Paul Murphree, Blue Cross interim chief medical officer. “In only its second year, the data show this program is already getting impressive results. We plan to keep enrolling more primary care doctors and clinics in the program so more Blue members will experience the benefits of patient-centered care.”

At the collaborative, Blue Cross leadership recognized doctors and clinics in the program with the highest improvement percentages in their patients with chronic illnesses. During the awards ceremony, Blue Cross named the four clinics with the highest scores on Quality Blue clinical quality measures for the program’s four targeted chronic conditions:

Highest Achievement in Diabetes Care 2015: The Family Doctors – Shreveport
Highest Achievement in Hypertension Care 2015: Green Clinic – Arcadia 
Highest Achievement in Kidney Care 2015: Bossier Family Medicine 
Highest Achievement in Vascular Care 2015: The Family Doctors – Shreveport

Blue Cross presented a Highest Overall Performance award to Bossier Family Medicine, which had the highest combined score on the four healthcare quality measures and three efficiency measures that track how well a practice is reducing the use of unnecessary services.

In addition to the top clinics, Blue Cross also recognized 60 doctors who achieved clinical quality scores in the top tenth percentile for each targeted chronic condition.

For more information on the Quality Blue Primary Care program and to download a white paper about how Blue Cross developed this program, visit bcbsla.com/QBPC.

Learn more about the ways Blue Cross is using Quality Blue to help our customers get better health results and combat rising healthcare costs at www.StraightTalkLA.com

About Blue Cross and Blue Shield of Louisiana
Founded in New Orleans in 1934, Blue Cross and Blue Shield of Louisiana is a tax-paying nonprofit health insurer. We are a private company, mutually owned by our policyholders, with an independent Louisiana Board of Directors and no shareholders. We are an independent licensee of the Blue Cross and Blue Shield Association.

Blue Cross and Blue Shield of Louisiana is committed to improving the health and lives of all Louisianians. With our subsidiaries, HMO Louisiana and Southern National Life, we provide group and individual health insurance plans, life and disability insurance, group voluntary products and administrative services to one out of four Louisiana residents. We’re the only Louisiana insurer that offers plans in every parish. We also provide every customer with comprehensive wellness education, programs and services to help them live healthier lives. Headquartered in Baton Rouge, we have eight regional offices to serve our customers around the state.

Blue Cross and Blue Shield of Louisiana is dedicated to transforming the healthcare industry in Louisiana into one that delivers high-quality health outcomes for our customers with top-notch service at more affordable costs. Our reputation for exceptional service and prompt payments, as well as the hard work of our 200+ in-house doctors, nurses, pharmacists, social workers and dietitians, keeps both customer and provider satisfaction high. Surveys by the Louisiana State Medical Society and the Louisiana Hospital Association consistently rank Blue Cross the best company providers do business with.

Blue Cross is deeply committed to the communities we serve. We invest both time and money in the health and wellbeing of Louisiana children by supporting more than 200 charitable organizations. We invite and encourage all Louisianians to visit our website or talk to us on social media through our online hub.