CMA Sues Blue Shield Over Physician Rating System

The California Medical Association, which represents 35,000 doctors, says it has filed a class action lawsuit against Blue Shield for imposing an unfair and potentially harmful rating system, the Blue Ribbon Recognition Program.

2 comments on "CMA Sues Blue Shield Over Physician Rating System"
Steven Gwiazdowski (2/23/2011 at 11:26 PM)

I disagree with Charlie's comments. Physicians take no issue with transparency or scoring systems. As a physician myself, I can tell you that we physicians have been "scored" our whole lives; college, medical school, internship, residency, fellowship and board certification. Where wer take humberage with the current systems as promulgated by BlueShield have no method of "risk adjustment." What this means is that if doctor A, who takes referrals for the most difficult cases no one else can handle is measured against Doctor B who gets overwhelmed by even the most rudimentary problems refers everything A will look worse in the eyes of the public. This is not only misleading, it leads the public to the less capable physician! Claims data analaysis does not even begin to address this issue.
Charlie Land (9/16/2010 at 1:29 PM)

These doctor lobby groups sound like a broken record. The seek to discredit every form of performance ranking there is and fight to be held unaccountable, its selfish and shameful. Luckily third party sites like do no fall under the powers of these legal battles, as they tried and failed to shut them down unsuccessully already. The insurance companies have quite a battle on their hand, hopefully a comprimise will happen.


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