Baton Rouge General Joins BCBSLA Collaborative to Improve Value, Health Outcomes

July 29, 2014

Baton Rouge, La. – Across the country, healthcare providers and payors are working together on innovative programs that improve health outcomes for patients and keep healthcare costs in line. Baton Rouge General and its physician group Baton Rouge General Physicians, along with other healthcare providers, has joined Blue Cross and Blue Shield of Louisiana’s (BCBSLA) Quality Blue Value Partnerships program, a collaborative effort focused on providing value-added, cost effective care.

Launched earlier this month, the Value Partnerships initiative builds on the success of BCBSLA’s existing Quality Blue programs, most notably Quality Blue Primary Care, a population health program introduced last year. Baton Rouge General and its physician group are among four other large provider systems currently participating in the new program, including Baton Rouge Clinic, Gulf States Quality Network, Ochsner Health System and West Calcasieu Virtual Medical Home.

Quality Blue Value Partnerships helps participating providers’ leverage data and analytical resources to better manage patient care across the continuum. To participate, doctors must already be enrolled in Quality Blue Primary Care. Baton Rouge General’s physician network was among the first providers in the state to join the Quality Blue Primary Care program.

Quality Blue Primary Care focuses on effectively coordinating patients’ care with Blue Cross clinical staff who work directly with family medicine, internal medicine and general practice physicians. This program especially benefits those who have chronic conditions by allowing doctors to efficiently share information and identify gaps in care – improving quality of care and ultimately, outcomes for patients.

By adding the Value Partnerships program, large provider systems can expand beyond primary care and examine their patients’ treatment experiences throughout the entire system, including with specialists, hospitals and outpatient centers that they manage. These types of systems are also called Accountable Care Organizations.

To provide the technical and analytical support needed for the program, Blue Cross is providing enrolled systems with access to an online dashboard called TREO Solutions. Using the dashboard, administrators can review Blue Cross claims data to identify ways that they can better use resources, change their practice patterns, or conduct more robust engagement and outreach activities to give patients the most appropriate level of care in the best setting.

For example, healthcare systems can have doctors prescribe more generic drugs, or they can reduce costly out-of-network services by referring patients to the most cost-efficient provider or to other providers within the same system for lab work or tests. These interventions effectively reduce medically unnecessary services and control costs.

Click here for more information about the Blue Cross Quality Blue programs.