Blue Cross Welcomes New Medical Director for Value-Based Payment Programs

Sept. 30, 2015

BATON ROUGE – Blue Cross and Blue Shield of Louisiana has hired a new medical director to oversee its Quality Blue programs, which are getting better health outcomes for customers while holding down costs.

Dr. Robert Muscalus will serve as the company’s Director of Care Transformation, according to Blue Cross Interim Chief Medical Officer Dr. Paul Murphree. This is a new position, which is needed because of the significant growth of Blue Cross’ Quality Blue programs over the past two years. Through these programs, Blue Cross works closely with the doctors and clinics in its networks to drive better health outcomes for members and patients. Quality Blue uses a patient-centered approach to care and ties doctors’ payments directly to how well they are helping their patients get and stay healthy.

In his role, Muscalus will work closely with Murphree and Blue Cross’ Clinical staff, which includes nearly 200 healthcare professionals such as doctors, nurses, social workers, pharmacists and dietitians, in growing Quality Blue programs and creating other patient-centered programs.

Muscalus has a lot of experience with other Blue Cross and Blue Shield plans. He served as strategic medical executive for national markets for Highmark Blue Cross Blue Shield, which has health plans in Delaware, Pennsylvania and West Virginia.  Before that, he was medical director for CareFirst, which has health plans in Washington D.C., Maryland and Virginia. In these roles, he helped to promote and support innovative programs like Quality Blue.

In addition to health insurance, Muscalus has experience with public and government healthcare programs, having served as a Medical Director in the Medicare Program and Physician General for the Commonwealth of Pennsylvania from 1999 to 2005.

Muscalus is a family physician, having experience in both private practice and as a faculty member at the family medicine residency program in Harrisburg, PA. He was a Division I, First Team Academic All American football player at William and Mary, and has been active in sports medicine, serving as the team physician for the Harrisburg Senators AA baseball team and as a consultant for the Hershey Bears hockey team.

He has earned numerous professional and academic awards and certifications, and he has served as a Clinical Assistant Professor at the Pennsylvania State University College of Medicine. Muscalus began working at Blue Cross on Sept. 21.

About the Blue Cross and Blue Shield of Louisiana Foundation
The Blue Cross and Blue Shield of Louisiana Foundation is building a healthier Louisiana through community outreach and charitable giving. Its two signature programs are The Angel Award®, an annual statewide recognition program that awards funds to outstanding Louisianians working to improve the quality of life of the state's children, and Smart Bodies®, an interactive education program to prevent childhood obesity.

In addition, Blue Cross contributes nearly $2 million annually in financial aid to various nonprofit organizations throughout the state that contribute to health, education and the overall quality of life in our communities. When we put dollars into Blue Cross communities, it makes Louisiana a better place for everyone. The Foundation is funded solely through Blue Cross and Blue Shield of Louisiana.

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.