1. Welcome! Please take a few seconds to create your free account to post threads, make some friends, remove a few ads while surfing and much more. ClutchFans has been bringing fans together to talk Houston Sports since 1996. Join us!

US Healthcare - is this true?

Discussion in 'BBS Hangout: Debate & Discussion' started by AroundTheWorld, May 9, 2024.

  1. AroundTheWorld

    AroundTheWorld Insufferable 98er
    Supporting Member

    Joined:
    Feb 3, 2000
    Messages:
    69,309
    Likes Received:
    46,808


    I'm interested in the topic, but still learning about the various incentive structures in US health systems.

    With various anti-kickback laws in effect, how is this legal (if true)?
     
  2. Xopher

    Xopher Member
    Supporting Member

    Joined:
    Feb 1, 2017
    Messages:
    3,555
    Likes Received:
    5,317
    This is what happens when you let a private company run healthcare. My gues, and it is just a guess, vaccinated children have less health problems thus saving the insurance company money in the long run.
     
  3. AroundTheWorld

    AroundTheWorld Insufferable 98er
    Supporting Member

    Joined:
    Feb 3, 2000
    Messages:
    69,309
    Likes Received:
    46,808
    Are you in favour of healthcare being run by government only?
     
  4. Ubiquitin

    Ubiquitin Contributing Member
    Supporting Member

    Joined:
    Jul 7, 2001
    Messages:
    17,921
    Likes Received:
    12,441
    https://apnews.com/article/fact-check-insurance-payouts-vaccines-345246681418

    Not at all.

    Some insurers will tie payments to benchmarks like vaccination rates, STI screening, mammography rates, but it’s more punitive than enriching.
    The idea is that insurers want PCPs to promote preventative health measures so the insurer can avoid paying for preventable health conditions.

    Fewer and fewer physicians are paid in a fee for service model (independent, classic private practice) or they’re paid a salary if they’re employed (the trend).

    Pediatricians promote vaccines because they’re risk intolerant. Especially for preventable infectious diseases.
     
  5. fchowd0311

    fchowd0311 Contributing Member

    Joined:
    Apr 27, 2010
    Messages:
    48,081
    Likes Received:
    36,893
    Yes
     
  6. Ubiquitin

    Ubiquitin Contributing Member
    Supporting Member

    Joined:
    Jul 7, 2001
    Messages:
    17,921
    Likes Received:
    12,441
    No.

    I favor smaller, independent health care delivery. The last 10 years have been private equity and university led consolidations of previously independent groups to the disservice of the actual patients.
     
    Invisible Fan and AroundTheWorld like this.
  7. dmoneybangbang

    Joined:
    May 5, 2012
    Messages:
    21,042
    Likes Received:
    12,897
    I don’t believe you… this is more of an antivax slant.

    I have no idea if this is actually true (probably a bit of misinformation since it’s from Twitter) but insurance companies do want to incentivize savings.

    Vaccinations for preventable diseases do save money and lives… as they are much cheaper than treating measles in an ER or hospital.
     
    adoo and FranchiseBlade like this.
  8. mtbrays

    mtbrays Contributing Member
    Supporting Member

    Joined:
    Jul 4, 2007
    Messages:
    7,733
    Likes Received:
    6,522
    It doesn't have to be that binary. The government should be able to provide an insurance option for all citizens and people should be able to supplement that with private insurance policies.

    Everyone else has figured this out to some degree.
     
    rocketsjudoka likes this.
  9. Amiga

    Amiga 10 years ago...
    Supporting Member

    Joined:
    Sep 18, 2008
    Messages:
    22,102
    Likes Received:
    18,850
    FranchiseBlade and DFWRocket like this.
  10. Xopher

    Xopher Member
    Supporting Member

    Joined:
    Feb 1, 2017
    Messages:
    3,555
    Likes Received:
    5,317
  11. DFWRocket

    DFWRocket Member

    Joined:
    Mar 21, 2000
    Messages:
    4,518
    Likes Received:
    2,105



    It literally took me about 45 seconds to find the truth..it's not hard to check things before you post them

    https://www.politifact.com/factchec...e-cross-blue-shield-physicians-arent-paid-bo/

    No, Blue Cross Blue Shield physicians aren't paid a bonus to meet a vaccine quotas


    Blue Cross Blue Shield is an association of 35 independent U.S. health insurance companies. The association does not provide bonuses for vaccinating a set number of child patients.




    .
     
  12. rocketsjudoka

    rocketsjudoka Contributing Member
    Supporting Member

    Joined:
    Jul 24, 2007
    Messages:
    54,616
    Likes Received:
    42,720
    Yes many countries have a mixed system with a public system that provides basic healthcare along and then a private system for greater service care. The basic care system focus on prevention keeps prices down and health results better.
     
    mtbrays likes this.
  13. mtbrays

    mtbrays Contributing Member
    Supporting Member

    Joined:
    Jul 4, 2007
    Messages:
    7,733
    Likes Received:
    6,522
    And prevents people from going bankrupt thanks to getting sick!
     
    Xopher likes this.
  14. deb4rockets

    deb4rockets Contributing Member
    Supporting Member

    Joined:
    Oct 8, 2013
    Messages:
    20,077
    Likes Received:
    26,050
    Fact checks 101.
     
  15. AroundTheWorld

    AroundTheWorld Insufferable 98er
    Supporting Member

    Joined:
    Feb 3, 2000
    Messages:
    69,309
    Likes Received:
    46,808
    I just read the "fact check" "Politifact" links to carefully.

    https://leadstories.com/hoax-alert/...only-for-number-of-children-vaccinateden.html

    The Blue Cross Blue Shield Association's chief medical officer, Vincent Nelson, said that while it is true that most companies in the national federation of independent health insurance companies offer doctors and other providers incentives for vaccinating children, the Instagram post is mischaracterizing the intent of such incentives. He wrote in an email to Lead Stories:

    "Physicians/providers can be incentivized through their work with independent Blue Cross and Blue Shield companies but the implication in this post that physicians/providers pursue childhood vaccinations solely for financial reasons is false."

    Lead Stories asked the national federation several times to provide either a range, average or median of the dollar amounts of such incentives doctors and providers receive across the 36 independent companies. This is the national company's response:

    "We're not able to share any estimates because the Blue Cross Blue Shield Association does not do any contracting with providers. Value based contracts and these incentives are decided by each independently-operated BCBS company."

    "Politifact" quotes some of this, but then concludes

    "We rate this claim False."

    So, once again, the "fact checks" have to be read extremely thoroughly.

    The guy they quoted here works for the association of the BCBS organizations. What he actually says is:

    1. Yes, incentives to pay doctors more for reaching certain vaccination level targets exist
    2. But the doctors are good people, to claim that this is the SOLE motivation for administering more vaccinations is incorrect
    3. I don't actually know what the exact incentives may or may not be because I just work at the association and the individual BCBS entities set the incentives.
    So if you actually read the fact check carefully - and spend more than 45 seconds - you will see that the conclusion "we rate this claim false" is not at all supported by what the association spokesperson says.

    (Whether the claim made in the tweet is exactly true or not, I still don't know - but certainly, the association's chief medical officer's quote indicates that, directionally, these types of performance incentives DO exist.)
     
    #15 AroundTheWorld, May 9, 2024
    Last edited: May 9, 2024
  16. Amiga

    Amiga 10 years ago...
    Supporting Member

    Joined:
    Sep 18, 2008
    Messages:
    22,102
    Likes Received:
    18,850
    Hey, I want to give you a thumbs up for taking the time to read a long article and think about it carefully. I knew you have it in you.
     
    gifford1967 likes this.
  17. juicystream

    juicystream Contributing Member

    Joined:
    Apr 17, 2001
    Messages:
    29,341
    Likes Received:
    5,470
    Why didn't you read the AP link?
    https://apnews.com/article/fact-check-insurance-payouts-vaccines-345246681418
     
    AroundTheWorld likes this.
  18. AroundTheWorld

    AroundTheWorld Insufferable 98er
    Supporting Member

    Joined:
    Feb 3, 2000
    Messages:
    69,309
    Likes Received:
    46,808
  19. dmoneybangbang

    Joined:
    May 5, 2012
    Messages:
    21,042
    Likes Received:
    12,897
    Of course it exists in some fashion…. Healthcare incentivizes things that saves money and produces healthier outcomes. Shocked face….

    But this is just an anti vax thread if you had the ability to be honest
     
    FranchiseBlade likes this.
  20. K9Texan

    K9Texan Member
    Supporting Member

    Joined:
    Oct 1, 2023
    Messages:
    1,116
    Likes Received:
    558
    That's funny coming from the poster that hides under their bed when confronted with FACTS that destroy their idiotic beliefs.
     

Share This Page

  • About ClutchFans

    Since 1996, ClutchFans has been loud and proud covering the Houston Rockets, helping set an industry standard for team fan sites. The forums have been a home for Houston sports fans as well as basketball fanatics around the globe.

  • Support ClutchFans!

    If you find that ClutchFans is a valuable resource for you, please consider becoming a Supporting Member. Supporting Members can upload photos and attachments directly to their posts, customize their user title and more. Gold Supporters see zero ads!


    Upgrade Now