Community Blue offers comprehensive, coordinated, patient-centered care for people in the Baton Rouge market, including East Baton Rouge, West Baton Rouge and Ascension parishes. Members have a select network of doctors and providers from within the BlueCross network to choose from, and in exchange pay lower premiums. The core of this product is a patient-centered medical home model that makes the doctor-patient bond stronger by replacing fragmented, disjointed and reactive care with care that is accountable, coordinated, collaborative and comprehensive care around a long-term healing relationship with their personal physician. Each patient is connected with a primary care physician who leads a team with shared medical service duties, providing for the patient's healthcare needs and working with other medical providers when more support is needed.
Plan pays care manager/nurse practitioner directly for care management incentive
Pay for outcomes bonus payment
Cost Savings:
First-year results show that it’s working. Most participating physician groups successfully cut spending and improved healthcare quality. On average, they saved 1.7% in their total healthcare costs. The most successful groups saved 3.8% on average.
