In California: investigative journalists would do well to ask if Blue Shield’s in-network providers were given a disproportionately https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Pfeil nach oben" aria-label="Emoji: Pfeil nach oben"> number of vaccine doses. https://twitter.com/thegarance/status/1381262460804608006">https://twitter.com/thegaranc...
Why did the state allow Blue Shield to interrupt vaccine shipments to providers that didn’t play by its rules?

source: #page5">https://eziz.org/assets/docs/COVID19/Vax58ProviderFAQs.pdf #page5">https://eziz.org/assets/do...
Fact check: several of the vaccination sites are supplied directly via parallel federal programs (e.g. FQHCs, retail pharmacies).

Are they forced to become part of Blue Shield’s network? Or is Blue Shield overstating its role?

source: https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1...
“A TPA can also charge specific fees for its services, or it may make money through a combination of commission and fees depending on the scope of the services they provide”

Is Blue Shield generating revenue on top of the $15m paid by the state?

https://www.associationhealthplans.com/group-health/what-is-tpa/">https://www.associationhealthplans.com/group-hea...
https://abs.twimg.com/emoji/v2/... draggable="false" alt="😕" title="Verwirrtes Gesicht" aria-label="Emoji: Verwirrtes Gesicht"> Follow-up: Blue Shield is claiming credit for vaccine providers for which it doesn’t have a direct relationship.

These are primarily federally qualified health centers (FQHCs), which are providers that serve primarily minority and immigrant communities. https://twitter.com/DataDrivenMD/status/1381270089845014529">https://twitter.com/DataDrive...
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Feuer" aria-label="Emoji: Feuer"> So, the state paid $15m to Blue Shield, and the insurer is taking credit for the work of community clinics, local government, and federal programs. Cool. Cool.
Wholeheartedly agree that *massive* investments in grassroots partnerships are necessary at this point, which is why Blue Shield’s misleading statements are harmful. The company is taking credit for grassroots efforts that deliver real #VaccineEquity. https://twitter.com/christianarana/status/1381280134674620416">https://twitter.com/christian...
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤨" title="Gesicht mit hochgezogener Augenbraue" aria-label="Emoji: Gesicht mit hochgezogener Augenbraue"> @LatinoCommFdn is funding a COVID-19 vaccination campaign in Alameda and @HRSAgov is also chipping in, but Blue Shield of California is taking credit for their work to achieve #VaccineEquity

Sources:
https://latinocf.org/latino-community-foundation-invests-2-million-to-increase-covid-19-vaccine-rates-in-hard-hit-latino-communities/

https://latinocf.org/latino-co... href=" https://bphc.hrsa.gov/emergency-response/coronavirus-covid19-FY2020-awards/ca

https://bphc.hrsa.gov/emergency... href=" https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1...
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Feuer" aria-label="Emoji: Feuer">Data. Doesn’t. Lie. — the US gov’t is shipping COVID-19 doses directly to ~50% of the sites Blue Shield *claims* as part of its #VaccineEquity effort. Where is BS sending its doses?

analysis: mine
data:
https://www.hrsa.gov/coronavirus/health-center-program/participants/ca

https://www.hrsa.gov/coronavir... href=" https://www.ihs.gov/sites/coronavirus/themes/responsive2017/display_objects/documents/IHS_COVID-19_Vaccine_Distribution_List_by_Area.pdf

https://www.ihs.gov/sites/cor... href=" https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1...
https://abs.twimg.com/emoji/v2/... draggable=Data. Doesn’t. Lie. — the US gov’t is shipping COVID-19 doses directly to ~50% of the sites Blue Shield *claims* as part of its #VaccineEquity effort. Where is BS sending its doses?analysis: minedata: https://www.hrsa.gov/coronavir... href=" https://www.ihs.gov/sites/coronavirus/themes/responsive2017/display_objects/documents/IHS_COVID-19_Vaccine_Distribution_List_by_Area.pdf" title="https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Feuer" aria-label="Emoji: Feuer">Data. Doesn’t. Lie. — the US gov’t is shipping COVID-19 doses directly to ~50% of the sites Blue Shield *claims* as part of its #VaccineEquity effort. Where is BS sending its doses?analysis: minedata: https://www.hrsa.gov/coronavir... href=" https://www.ihs.gov/sites/coronavirus/themes/responsive2017/display_objects/documents/IHS_COVID-19_Vaccine_Distribution_List_by_Area.pdf" class="img-responsive" style="max-width:100%;"/>
This #VaccineEquity effort is in partnership with the County of Sacramento, which also gets COVID-19 vaccine doses directly from the federal government, but Blue Shield claims this vaccine provider as its own.

Which providers are *actually* receiving doses from Blue Shield? https://twitter.com/cmmaivang/status/1381303754989826048">https://twitter.com/cmmaivang...
https://abs.twimg.com/emoji/v2/... draggable="false" alt="👀" title="Augen" aria-label="Emoji: Augen"> Is Blue Shield gaming the system to avoid being in breach of contract?

Ensuring #VaccineEquity, including the enrollment of providers in underserved areas, is literally in Blue Shield’s contract with the state of California.

full contract here: https://files.covid19.ca.gov/pdf/Blue-shield-of-california-GovOps.pdf">https://files.covid19.ca.gov/pdf/Blue-...
In summary, Blue Shield:
Appears to have favored its in-network providers for initial vaccine allocations https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> fell behind its contractual obligations re: capacity and #VaccineEquity https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> trying to cover-up for the shortfall by claiming credit for federal- & community-driven efforts.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Feuer" aria-label="Emoji: Feuer"> Seem like a stretch? Data. Doesn’t. Lie. 30% of hospitals & medical groups in *one* of Blue Shield’s products (TRIO Accountable Care Organization) has access to COVID-19 doses controlled by Blue Shield

analysis: mine
data:
https://www.blueshieldca.com/bsca/bsc/public/member/mp/contentpages/!ut/p/z1/pVLJTsMwEP0VOOSYeppEjcPNLV1FqdSFNr5EWZwFEjt1TAN_jwsFCQlaIXzy8mbeMkYU7RDl4aHIQlUIHpb67NNeYOEpngB0ZwuwAAiGweze8zB2XfSAKKJ1XCTIj-I0iRIAEzzPMZ3Ucs2wZ2Mz7SaeHaaOE2F8RMdc1SpHfsWqiMkgFlwxrgLGDTjtr6QQyoAmF3VQlyFvDFCyEEFeiYAz1Qr5hLaXlFH9DL8sAmh2CaCtW3I-mGfaX6hys-CpQLtaxJqavhd_kY_XAxvIeEjsEd7Y2HFOgDPdfS3fDWYYetP-Au5ghV0gt8Nln4wsC8ZdtD0UrEUbLmSl57D6Y8yTT4NnAtIGi8f9nhI9kmPuLwrt_jcTTZmVIvr4N4RHNtbhSZYyyWTnWerrXKm6uTHAgLZtO5kQWck6sagM-KkkF43W9B2J6qrC9qtJo94St-s0Lw_VFjfk-g1IeXc-/dz/d5/L2dBISEvZ0FBIS9nQSEh/

https://www.blueshieldca.com/bsca/bsc/... href=" https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1... https://twitter.com/datadrivenmd/status/1379871771109695489">https://twitter.com/datadrive...
https://abs.twimg.com/emoji/v2/... draggable= Seem like a stretch? Data. Doesn’t. Lie. 30% of hospitals & medical groups in *one* of Blue Shield’s products (TRIO Accountable Care Organization) has access to COVID-19 doses controlled by Blue Shieldanalysis: minedata: https://www.blueshieldca.com/bsca/bsc/... href=" https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1... https://twitter.com/datadrive..." title="https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Feuer" aria-label="Emoji: Feuer"> Seem like a stretch? Data. Doesn’t. Lie. 30% of hospitals & medical groups in *one* of Blue Shield’s products (TRIO Accountable Care Organization) has access to COVID-19 doses controlled by Blue Shieldanalysis: minedata: https://www.blueshieldca.com/bsca/bsc/... href=" https://news.blueshieldca.com/2021/03/10/state-of-californias-enhanced-covid-19-vaccine-provider-network">https://news.blueshieldca.com/2021/03/1... https://twitter.com/datadrive..." class="img-responsive" style="max-width:100%;"/>
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