Quality Blue

Quality Blue is an innovative health care quality improvement program that allows network providers opportunities to earn recognition and financial incentives by meeting performance indicators.

Blue Cross takes a leadership role in developing programs that reward providers for quality improvements that get better health results for patients while making health care more affordable.

Quality Blue recognizes providers who are working in collaboration with Blue Cross to transform health care systems and improve the way care is delivered to Blue Cross members - their patients - to help achieve better health outcomes.

Quality Blue encourages value-based (as opposed to volume-based) practice methods by equipping providers with a performance-based payment structure. Practices may be eligible to receive financial incentives for successfully achieving quality and total cost of care goals. Each attribute of Quality Blue was designed to successfully facilitate the necessary transformation to improve the health and lives of Louisianians.

Quality Blue is a value-based payment program that encompasses all the value-based modules and is available to different providers and lines of business. It is designed as a modular approach to meet providers where they are, and support pathways to enhanced value-based payments over time on the path to Blue Cross’ comprehensive reimbursement strategy. 

Quality Blue graphic

The Value Proposition
Quality Blue is a patient-centric population health and quality improvement program designed to transform our network from an episode-driven, provider care delivery model to a team-based care delivery model. Quality Blue addresses the needs of the populations we serve to improve Louisiana’s health outcomes.

For Practices:

  • Supports a path to comprehensive reimbursement accounting for both fee for service (FFS) and value to achieve sustainable, affordable care.
  • Offers options for participation, focusing on unique strengths and capabilities.
  • Provides value-based modules as “building blocks” to support a progression based on readiness or to remain at a given level.

For Members:

  • Enhances the quality of care through meaningful population health initiatives.
  • Lowers the cost of care delivered.
  • Increases engagement and empowerment.
  • Improves the health and lives of Louisianians, enhancing patient experience.

For Blue Cross:

  • Meets core strategy of improving health outcomes.
  • Meets core strategy of affordability by creating incentives to lower the cost of care.
  • Meets the core strategy of sustainability by growing the types of providers engaged in value-based reimbursement.

Contact Us
To learn more about our QB program, please email our Provider Relations Department at provider.relations@bcbsla.com.