Medical Directors for BCBS

[Laurie]

The Medical Directors responsible for our Medical Policy Guidelines (MPG)
for the four Blue Cross and Blue Shield plans (Texas, Illinois, Oklahoma,
and New Mexico) include: Dr. Allan Chernov, Dr. W. Harms, Dr. P. Root and Dr.
M. Fontana.

One piece of information! We know these people are responsible for why these plans aren't covering CGMS.

Chernov is an internal medicine doctor...He is the director of medical policy for BCBS TX.

I don't have any specific suggestions, but I've heard the idea of reporting doctors to state medical boards stating that they need to be investigated for practicing incompetently and needing education to make proper decisions.

Another point is that the Standards of Medical Care in Diabetes indicate, "Continuous Glucose Monitoring may be a supplemental tool to SMBG for selected patients with type I diabetes, especially those with hypoglycemic unawareness."

This is listed here:

http://www.bcbstx.com/provider/lifemasters_cpg.htm

If this is used by BCBS, why are they refusing to cover CGMS per the standards they themselves cite?

[Gina Capone]

perfect information!

[Gina Capone]

Blue Cross And Blue Shield Of Oklahoma Hires New Medical Director

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June 12, 2008

Contact:



Linda Sponsler
918.551.3334

A new medical director, Dr. Charles Knife Chief, has been named the newest member of the Blue Cross and Blue Shield of Oklahoma health care management team.

Knife Chief is board certified in obstetrics and gynecology. He has nearly 25 years practicing medicine and most recently served as an OB/GYN for Associated Women's Specialists in Tulsa.

Knife Chief holds an undergraduate degree in biology from the University of Utah, and a medical degree from the University of California San Diego School of Medicine. He is a diplomate of the American Board of Obstetrics and Gynecology and a member of the Association of American Indian Physicians.

Knife Chief lives in Tulsa with his wife, Kimberly. The Knife Chiefs have five grown children, Heather, Andrew, Sarah, Elizabeth and Hayley, and daughter, Kelly, deceased.