Tennessee doctors celebrated for cost-effective, quality care in 2020
CHATTANOOGA, Tenn. — BlueCross BlueShield of Tennessee’s Medicare Advantage 2020 Quality+ Partnerships Program acknowledged primary care physicians across the state for helping their patients achieve exceptional care outcomes despite the challenges presented by the COVID-19 national public health emergency.
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.
Several groups and individual providers across the state earned a 5 out of 5 Star rating:
Groups:
| Charles T Wolohon MD | Murfreesboro |
| State of Franklin Healthcare Associates PLLC | Johnson City |
| Priority Care LLC | Livingston |
Individuals:
| Charles A. Ross, DO | Kingsport |
| Kevin S. Toppenberg, MD | Greeneville |
| Kimberly A. Boring, NP | Crossville |
Additionally, many individual providers across the state earned a 4.5 out of 5 Star rating:
East Tennessee:
| Thomas F. Boduch, MD | Kingston |
| Dannie W. Glover, MD | McMinnville |
| Luisa T. Manestar, MD | Crossville |
| James C. Wall Jr, MD | Smithville |
Middle Tennessee:
| Gibran B. Naddy, MD | Columbia |
| Bernard Pare, MD | Mount Juliet |
| Peter A. DiCorleto, MD | Murfreesboro |
| Michael A. MacQuarrie, MD | Nashville |
| Wayne Murphy, MD | Murfreesboro |
| Marthe-Sophie Lagueux, MD | Mount Juliet |
| Cameron A. Shearer, MD | Mount Juliet |
Northeast Tennessee:
| Jonathan S. Bremer, MD | Elizabethton |
Many group practices received a 4.5 Star rating.
East Tennessee:
| 1101 Primary Care PLLC | Cookeville |
| Cornerstone Family Medicine LLC | Sparta |
| Galen Medical Group | Chattanooga |
| Jane Anne Gotcher MD LLC | Cookeville |
| Mahmood A Siddiqui MD PC | Copperhill |
| Ocoee Regional Health Corporation | Benton |
| Synergy Medical Associates PLLC | Crossville |
Middle Tennessee:
| Heritage Medical Associates PC | Nashville |
| Mountain View Medical | Lascassas |
| Murfreesboro Medical Clinic PA | Murfreesboro |
| Shelbyville Clinic Corp | Shelbyville |
| Spectrum Medical Associates | Tullahoma |
| Williamson Medical Group LLC | Franklin |
Northeast Tennessee:
| Mountain Region Family Medicine | Kingsport |
West Tennessee:
| Paula Vassar Inc | Union City |
“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. “This is especially true due to the unique circumstances created by the COVID-19 pandemic over the past year which caused providers to adapt their patient care to include telehealth virtual visits, and stress the importance of preventive services as patients made decisions about elective services.”
For a full list of Tennessee providers participating in the Quality+ Partnerships Program, visit bcbst.com.
- Each recognized provider/group serves at least 20 BlueAdvantage PPOSM members.
About BlueCross®
BlueCross BlueShield of Tennessee is a taxpaying, not-for-profit health plan serving more than 3.4 million members in Tennessee and around the country. The Chattanooga-based company was founded in 1945 and has brought peace of mind to its members and local communities for more than 75 years. BlueCross BlueShield of Tennessee Inc. is an independent licensee of the BlueCross BlueShield Association. For more information, visit the company’s news center at bcbstnews.com.