The 2024 Blue Cross of Michigan primary care “reimbursements” AKA bonus money they made.
https://uopdocs.com/wp-content/uploads/2024/07/BCN_2024-Quality-Rewards-Booklet.pdf
Fresh off the press with new updated numbers, here is what Blue Cross providers made as a “bonus” for doing what the insurance company told them to do. First up: the “quality measures” that earned you a score to earn a bonus…. Notice the management of an antidepressant right there at the top…….and no, psychiatry does NOT have any of this quality measures bonus system. This is primary care only.
And here is the table of money they earn:
If it says flat fee, they earn that just for doing that action for every patient possible. The others that have a percentage, well, that is the percentage of people in the practice they see that they have to do that action on, to get paid that dollar amount per person.
Think they aren’t incentivized?? Think again.
What good is power if you don’t abuse it? The insurance companies definitely exercise their power over both the physicians and patients. Jerking around the patients is especially outrageous because we are the ones paying premiums to the insurance companies. We are paying for the abuse. The doctors are kind of stuck in the middle. They want to get paid for their services and the patients expect the insurance to pay the doctors. Jump through the hoops doctors! Pay your premiums and accept the abuse patients! The insurance industry has an agenda and it is not patient friendly. One could almost say they want us dead after they have fleeced us.
Looks like Ethics is 'gone with the wind'....grrrrrrrrrr