Becker's Healthcare October 30, 2023
Payers’ negotiated prices for office visits and medical services are generally highest in the upper Midwest and Southeast, and are lowest in the middle of the country and Florida, according to a price transparency study published Oct. 27 in JAMA Health Forum.
The researchers analyzed public pricing data from Humana for seven services that occurred in October 2022.
The researchers analyzed data for Humana’s in-network clinicians and facilities nationwide, and used the mean posted price when the data included multiple contracted rates for the same procedure and clinician or facility within the same network. The data reported rates for clinicians and facilities regardless of whether they actually performed a given service. The researchers used 2019 Medicare claims data and...
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