BCBSLA Welcomes New Medical Director For Value-Based Payment Programs

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.

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         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.

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         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 Monday, September 21, 2015.

         For more information

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