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Leading Health Care Reform bill now in congress calls for cuts in payments to doctors but many doctors are already providing crucial health care.
At a personal financial loss this is particularly.
The case when it comes to vaccines joining us now to talk about her decision.
-- actually at a loss.
-- doctor Mary Ellen -- a New York pediatrician doctor thank you for joining us so take me through the process you have to pay for vaccine you pay acts.
You charge your client what.
Acted out insurance companies so what they do is we give a vaccine to a baby let's say a prayer -- is in the chemical meningitis vaccine.
And we submit the claim to the insurance company and said we've giving this child.
Of the X whatever insurance company belong to we gave them a -- vaccine insurance company -- reimburses us.
Whatever they decide what they want to reimburse the -- a contract that out with them.
So they pick and choose how much that in the pants -- to give us hard it can you do that -- he tells what a -- for a typical vaccine.
But the vaccine like -- -- costs us about 85 dollars per dose and each child has to get four doses of vaccine.
One insurance company in particular.
Bullet only reimburse a 73 dollars for the vaccines so every time I give a -- no I'm actually losing twelve dollars -- shot.
Now this is private insurance companies -- is -- but what about Medicaid.
Well Medicaid I don't -- Medicaid probably does the same thing that I can't comment on Medicaid because I don't come not a provider of Medicaid.
All right so let let me ask you this and cool but how does the insurance company decide how much they're gonna.
Pay you back.
What they usually do supposedly and I don't really believe along what and insurance companies and they tell me how they come to a number of this city cool.
Different manufactures and take the average price and they come to a decision on what is.
A good reimbursement for the doctor in order for a pediatrician like myself to -- we need about 30% -- -- cost.
Because we need to consider time need to consider that the actual -- that season.
We have tremendous costs on the disposal effects of the -- that we use these the medical waste disposal the time.
Today the pick up any of that stuff that -- -- -- the needles and disposals of -- little cost you have to bear that's all costs will be there so you're gonna put put out 240 dollars for that series of injections -- vaccines.
And the pay for the four needles and pay for disposal and they're gonna give you back somewhere around 200 bucks that's correct -- -- did -- -- that's not -- how do you stay in business.
It's difficult we have we really it's a juggling process with the juggled the money continually because we have -- a huge amount of inventory in vaccines which is about forty to 50000 dollars.
So it's it's very very difficult.
-- charge for the office visit -- concerns from Brussels somewhat doctor Mary on -- you very much pediatrician in New York City thank you can listen.
They don't ask anyone else to take losses on on business they shouldn't -- doctors just.
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