HealthLeaders Media July 7, 2020
Jack O'Brien

KFF stated that increased provider consolidation as a result of the pandemic could lead to hospitals gaining additional leverage to “demand higher prices from private insurers.”

Private insurance rates were up to 2.5 times higher than Medicare rates across 10 DRGs, according to a brief published by the Kaiser Family Foundation (KFF) Tuesday.

The KFF research found that private insurance rates “varied more widely” than Medicare rates and that the average private insurance rates for diagnoses related to coronavirus disease 2019 (COVID-19) rose up to 22% between 2014 to 2017.

The study noted that if Medicare’s temporary 20% add-on for hospitals that treat patients infected with COVID-19 were applied in 2017, the gap with private insurers would have been smaller.

...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Healthcare System, Insurance, Medicare, Patient / Consumer, Payer, Provider, Public Health / COVID, Survey / Study, Trends
Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications
Understanding the politics of drug pricing in the United States
APG’s Susan Dentzer: the Value-Based World Is Steaming Ahead
HHS Announces Medicaid and Medicare Flexibilities, Investigations post-Change Healthcare Cyberattack
Medicare, Medicaid made $100B in improper payments in 2023

Share This Article