So how much money do doctors really make from vaccines? The average American pediatrician has 1546 patients, though some pediatricians see many more. The vast majority of those patients are very young, perhaps because children transition to a family physician or stop visiting the doctor at all as they grow up. As they table above explains, Blue Cross Blue Shield pays pediatricians $400 per fully vaccinated child. If your pediatrician has just 100 fully-vaccinated patients turning 2 this year, that’s $40,000. Yes, Blue Cross Blue Shield pays your doctor a $40,000 bonus for fully vaccinating 100 patients under the age of 2. If your doctor manages to fully vaccinate 200 patients, that bonus jumps to $80,000.
But here’s the catch: Under Blue Cross Blue Shield’s rules, pediatricians lose the whole bonus unless at least 63% of patients are fully vaccinated, and that includes the flu vaccine. So it’s not just $400 on your child’s head–it could be the whole bonus. To your doctor, your decision to vaccinate your child might be worth $40,000, or much more, depending on the size of his or her practice.
Here is the PDF version of the Blue Cross 2016 Performance Recognition Program