Becker's Healthcare August 8, 2023
Commercial insurers are charged two to three times more than what the same payer’s Medicare Advantage plans are charged for the same procedure in the same hospital, according to a study published Aug. 7 in Health Affairs.
Four things to know:
1. Using 2022 price information disclosed by hospitals, researchers studied the ratio of commercial-to-Medicare Advantage prices negotiated by the same payer, in the same hospital and for the same services. Most major insurers operate in both the commercial and Medicare Advantage markets.
2. The median commercial-to-Medicare Advantage price ratio in the same hospital varied, from 1.8...
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