Third-party payment in the United States

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Third-party payment is the term used to refer to payments for medical services and procedures by a third-party, usually public or private medical or health insurance company or government program.

Third-party payment for non-therapeutic or unnecessary medical procedures encourages the performance of such services, simply so the attending physician can collect a fee.

Third-party payment for injurious medically-unnecessary, non-therapeutic child circumcision in the United States keeps the incidence of non-therapeutic circumcision of children higher than any other industrial nation.[1] The only party to benefit from such third-party payments is the receiving physician, or hospital.

The physicians that most commonly perform non-therapeutic infant circumcisions are obstetricians, pediatricians, and family doctors. They formed an agreement in 2007 to produce a new statement with the AAP as the lead. It was published in 2012 but was poorly received because of its evident omissions of facts. The AAP statement was not re-affirmed is accordance with AAP policy, so it expired on August 31, 2017. The AAP has not replaced the failed 2012 policy statement so it now has no official policy regarding male circumcision.

United States Medicaid is one of the largest third-party payers for medically-unnecessary, non-therapeutic circumcision.[2]

The American Academy of Pediatrics created its failed 2012 policy statement (expired in 2017) specifically to preserve and protect third party payment to medical doctors.

Third-party payment policy in English-speaking nations

The United Kingdom created the National Health Service (NHS) in 1948. The NHS is not an insurance programme; it actually is a healthcare institution. It did not then and does not now provide non-therapeutic circumcision.[3]

See also

External links

References

  1. ↑ REFweb Hill, George (April 2021). Circumcision Incidence in Mississippi Icons-mini-file pdf.svg, Research Gate. Retrieved 14 April 2021.
    Quote: Depending on the accuracy of the assumptions, these figures may indicate that cessation of Medicaid payments and other third-party payments is a highly effective way to reduce the incidence of trauma of harmful non-therapeutic circumcision and to improve male health and well-being. (1) (PDF) Circumcision Incidence in Mississippi. Available from: https://www.researchgate.net/publication/350799429_Circumcision_Incidence_in_Mississippi [accessed Apr 14 2021].
  2. ↑ REFjournal Adler PW. Is it lawful to use Medicaid to pay for circumcision?. Journal of Law and Medicine. 2011; 19: 335-353. Retrieved 8 November 2019.
  3. ↑ REFweb (20 November 2018). Circumcision in boys, National Health Service. Retrieved 17 January 2025.
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