Insurance Pays Pediatricians a Bounty for Every Fully Vaccinated Child

Alex Pietroski, a reporter for Waking Times, alleged that “it is now very difficult to find a pediatrician who will accept a family who doesn’t vaccinate. Even parents who partially vaccinate or follow a different schedule have a hard time finding a doctor. Here’s why: doctors have to vaccinate a certain percentage of their patients or they don’t get their bonus. BCBS [Blue Cros Blue Shield] says doctors need to vaccinate 63% of their patients to get the payout [of $400 per vaccinated child].”

This author researched Pietroski’s allegation. Indeed, many pediatricians refuse to see child patients whose parents have decided not to have their children receive vaccines. Doctors are increasingly encouraged to refuse service to unvaccinated child patients based on a policy published in 2016 by the American Academy of Pediatrics (AAP) that allows pediatricians to dismiss the child patients of parents who refuse vaccines. The Greenville News reported that “[a] two-month-old baby was recently denied care at a Carolina Forest pediatrician’s office due to his parents’ stance on vaccines.” The report reveals:

That decision stems from a policy adopted by recommendation of the American Academy of Pediatrics, according to Brian Argo, chief financial officer of Conway Medical Center, which operates CPG Pediatrics.

You will notice that the spokesman for the pediatric office was the “chief financial officer.” Why would the chief financial officer be the one who is giving the reasons for the policy of refusing service to unvaccinated children? Brian Argo has an MBA, not an MD; he is a financial expert; he is not a medical expert. You would think that there would be a medical reason for the policy. You would think that the pediatrics office would appoint a medical doctor to give a medical reason for the policy. Instead, the pediatric office appoints a financial officer to present the rationale for refusing service to unvaccinated children. But he does not give a financial reason, nor does he give a medical reason; he gives as the reason a recommendation by the AAP. Unsurprisingly, he did not say that the pediatric office makes a lot of money by vaccinating children, and every unvaccinated child in its medical practice threatens that money stream.

Pietroski, however, alleges that there is a financial motive at the core of pediatricians not allowing unvaccinated children in their practice. Pietroski made a fantastic allegation that many pediatricians will not treat unvaccinated children because they need a certain threshold of patients in their medical practice to be vaccinated to be paid a bounty from insurance companies for each vaccinated child. I researched Pietroski’s allegation. What I found was surprising. The evidence establishes that his allegation is true.  Below are screenshots from the Blue Cross Blue Shield 2016 Performance Recognition Program. I have also attached the entire booklet for download below.

Under that program, if a pediatrician is able to convince 63% of the parents of children to receive the full schedule of the ten (10) listed vaccines prior to the child’s second birthday, the pediatrician will receive a $400 bounty per patient from Blue Cross Blue Shield. This is a perverse monetary incentive for pediatricians to push for childhood vaccines. By the way, this is only one of the incentive programs being run by one insurance company in Michigan. There are no doubt many others.

Incidentally, Alex Pietroski alleges in his post indicates that a pediatrician can make up to $40,000 per year from this program. That is just an example. There is, in fact. no limit under the program to the amount of money the pediatrician can make each year. For example, if the pediatrician has 200 patients meeting the Childhood Immunizations- Combo 10 program criteria, with a bounty of $400 per child, he could make $80,000 per year.

Indeed, the $80,000 per year figure is much closer to reality. In 1999, A research study was conducted of eighty-nine pediatric practices in 31 states involving 373 individual pediatric practitioners. The study found that “each practitioner cared for an average of 1546 patients” over a two-year period.  That is an average of 773 patients each year. The study was not a measure of office visits; it was a measure of individual patients treated regardless of the number of office visits. Thus, one patient visiting the office three times over the two-year period would be counted as a single patient. The study found that 27.4% of all pediatric patients were 2 years old or younger. Thus, on average, each pediatrician treated 211.8 (773 x .274 = 211.8) patients that were two years old or younger per year. That means that the average pediatrician can count on a bounty payout of approximately $84,720 per year from the Blue Cross Blue Shield Childhood Immunizations- Combo 10 program. That assumes that the doctor is able to convince 100% of his parents to vaccinate their children. If he is only able to convince 63% of parents, which is the bare minimum to qualify for the bounty, he would stand to make $53,374. Thus, the average pediatrician can make between $53,374 and $84,720 per year in vaccine bounty payments. The important driver for him to push vaccinations on every parent is that if his rate of child vaccinations drops below 63% he will make $0.

This financial incentive to have a certain threshold (63%) of fully vaccinated children in their practice explains perfectly why some pediatricians will not allow unvaccinated children in their practice. Every child in their practice who is not fully vaccinated will bring them closer to their minimum threshold and threaten their $400 bounty for each vaccinated child. The Pediatrician, who you think should be looking out for your child’s best interest, has a monetary incentive to ignore the mountain of evidence that vaccines are both ineffective and dangerous to children. Now you know why there has been no push-back from pediatricians about the acceleration of vaccines being injected into infants. They are financially incentivized to be willfully ignorant doctors.

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When you visit a pediatrician and find them pushing vaccines, you now know why. It has nothing to do with the well-being of your child. It has everything to do with money.  Indeed, there is a perverse incentive to pressure parents to have their children vaccinated as early as possible. Because if the pediatrician does not meet the 63% threshold, he receives zero (0) dollars under the program. Thus, every parent is lobbied hard to have their child vaccinated before their second birthday. The pediatrician has a pecuniary incentive to load as many vaccines into the child as early as possible. Thus, the adverse effects from the vaccines are accentuated because the child’s immature immune system is being attacked and compromised when it is least able to deal with the many poisons in the vaccines. “For the love of money is the root of all evil: which while some coveted after, they have erred from the faith, and pierced themselves through with many sorrows.” (1 Timothy 6:10)

Chart (annotated) with instructions appearing on page 4 of the Blue Cross Blue Shield 2016 Performance Recognition Program
Chart (annotated) appearing on page 15 of the Blue Cross Blue Shield 2016 Performance Recognition Program

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