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.
"We believe by using and publicizing what is a faulty assessment of physicians, without adequate disclosures of the limitations and faults in the ratings, Blue Shield is both misleading the public and potentially damaging the reputations of thousands of doctors," said Brennan Cassidy, MD, president of the CMA.
He said that the practice of medicine is complicated, and any rating service should reflect that. "This is not restaurant service."
The lawsuit was filed in Alameda Superior Court and seeks injunctive and monetary relief.
Michael-Anne Brown, medical director for quality with Blue Shield of California, said she thinks the doctors "don't want a public scorecard."
"They're very uncomfortable with the notion of public reporting. But with healthcare reform, it's likely we'll have more and more transparency in healthcare, not less. Increased transparency will lead to better decision-making on the part of doctors and patients."
The scorecard in question involves Blue Shield's posting of blue ribbons on its website next to the names of doctors who have met certain care criteria standards. But the CMA lawsuit says the scoring system is flawed.
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Top-Ranked MA Plans Earn Their Stars
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- House Calls Key to Pioneer ACO Success
- How Telehealth Pays Off for Providers, Patients
- How Hospitals Can Become 'Upstreamists'
- 4 Tips for Managing Employed Physicians
- Defensive Medicine Still Prevalent Despite Tort Reform
- 'Overtreatment' Debate Circles Back to Lung Cancer Screening
- Ebola: Health Officials Try to Quell Front Line Fears