Managed Health Care Connect May 18, 2018
A recent Health Care Pricing Project report, which focused on employer-based health insurance and hospital pricing, found that insurers are paying a substantially different price for the same services in hospitals. They also concluded that health spending on privately insured plans vary by three factors across the country.
Zack Cooper, PhD, assistant professor at the Yale School of Public Health at Yale University, and colleagues, used insurance claims data from three of the nation’s largest insurance companies—Aetna, Humana, and UnitedHealthcare. With this data, which accounted for 28% of Americans with employer-based coverage between 2007 and 2011, the researchers examined payer-hospital contracts for hospital pricing variations.
According to the report, the location of a hospital is a major factor that impacts...