Healthcare Finance News October 31, 2023
Lack of transparency limits the ability of regulators to monitor prices and of employers and patients to impose market discipline on prices.
Prices negotiated by health insurers show a wide amount of variation between geographic locations, with a new study in JAMA Health Forum showing that these price variations often occur with the same insurer, costing more in one locale than in another.
Over half of the U.S. population receives health insurance from private insurers, and prices are negotiated rather than set administratively, such as through Medicare. This negotiation process contributes to a landscape in which private insurance prices are both higher than Medicare rates and highly variable, the numbers showed.
The private market lacked meaningful price transparency for...
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