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BlueCross Medicare Advantage Quality Program Acknowledges Primary Care Physicians for Superior Patient Care Outcomes


 

BlueCross BlueShield of Tennessee's Medicare Advantage 2019 Quality+ Partnerships Program recognized a number of primary care physicians in Middle Tennessee for helping their patients achieve exceptional care outcomes.

The program conducts an annual review of providers' quality improvement efforts, recognizing those who increase their performance in specific care quality metrics over time.1

These health benchmarks measure many factors, including:

  • How often providers offer preventive treatment
  • How well patients follow their providers' plans of care for managing chronic diseases
  • Whether or not providers offer treatment support in specific areas where a strong focus could lead to improvements in patient health
  • How effectively providers support compliance with specific medications used to treat diabetes, high blood pressure and high cholesterol conditions

The most recent Medicare Advantage Star quality data shows that many providers deliver superior outcomes for BlueCross Medicare Advantage plan members when it comes to timely treatments and appropriate preventive care.

The following providers earned a 4.5 out of 5 Star rating.

Marthe-Sophie Lagueux, MD

Mount Juliet

Charlotte J. Lohrey, MD

Nashville

Wayne Murphy, MD

Murfreesboro

David E. Ours, MD

Murfreesboro

Michael E. Parker, PA

Hohenwald

Rachel R. Sanes, FNP BC

Hendersonville

Cameron A. Shearer, MD

Mount Juliet

Charles L. Stimpson, MD

Shelbyville

Leanne P. Venable, FNP BC

Murfreesboro

In addition, several group practices received a 4.5 Star rating.

Charles T Wolohon MD

Murfreesboro

Clarksville Internal Medicine PLC

Clarksville

Complete Family Healthcare

Shelbyville

Cool Springs Internal Medicine and Pediatrics Clinic

Brentwood

Family Care of Middle TN

Smyrna

Heritage Medical Associates PC

Nashville


"We appreciate these high-performing providers in our Medicare Advantage network along with many others who commit daily to giving their patients the best evidence-based care possible," said Dr. J.B. Sobel, vice president and chief medical officer of senior products at BlueCross.

For a full list of Tennessee providers participating in the Quality+ Partnerships Program, visit bcbst.com.

  1. Each recognized provider/group serves at least 20 BlueAdvantage PPOSM

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