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BCBS of Tennessee to post Doctor Cost, Quality; Follows NY Guidelines

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BlueCross BlueShield of Tennessee customers will soon be able to review doctor’s quality of care and costs on a private BCBS members-only Web site.

Physicians will review the data 60 days vefore it is made available to consumers, and will be able to dispute findings.

The report will be based on claims data, although BCBS intends to ask doctors to provide medical record data at some point in the future.

Learning from several upsets in New York, BlueCross is specifically following guidelines proposed by New York State Attorney General Andrew Cuomo that are intended to avoid driving consumers to lower-cost physicians.

Quality of care and cost information will only be available to privately insured members (70 % of total claims). Medicare and other government insurance data will be added in a second phase.

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