Reply to nosey call from BCBS case manager

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Reply to "nosey call from BCBS case manager"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]with my BCBS plan (a PPO based out of Massachusetts) it was a preventative thing - they wanted to see if there were any risk factors they could mitigate so that my postpartum and baby's well care would not be complicated  (and therefore not cost THEM a lot of money).[/quote]

The PP above my post is the PERFECT example of why they do this.  Mitigating risks![/quote]

Risks are costly but they also result in poor health outcomes. So why would you argue against a program that would help try to reduce risks? I get that you’re taking issue with the health plans’ motivation but like a PP said—they’re businesses. Advocate for a single payer system. But within the system we have, it makes sense for health plans to behave this way and there are benefits to the population they are insuring too.

My niece got help through one of these programs, her care coordinator helped her get shots to prevent a second preterm birth (after her first was born at 32 weeks). Not sure that would have happened without the program and her second kid was born early term. Sure it cost the health plan less money. But it was also meant a healthier baby and easier birth and recovery for her.

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