Healthcare DIVE January 16, 2018
Dive Brief:
- The Congressional Budget Office analysis compared prices of the 20 most common and costly physicians’ services paid by Aetna, Humana and UnitedHealthcare in 2014 to Medicare’s fee-for-service program and Medicare Advantage (MA).
- The analysis found the prices the three major insurers paid for those 20 services were between 11% and 139% higher than Medicare fee-for-service (FFS) prices, which were more in line with MA.
- Additionally, average commercial prices were as much as three times higher out-of-network than in-network, whereas in MA plans, out-of-network prices were at most 20% higher than in-network prices.
Dive Insight:
While the prices commercial insurers pay for physicians’ services are known to be substantially higher than the prices the federal and state...
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