Fierce Healthcare May 13, 2024
The gap between insurance plans and Medicare’s payments to hospitals for inpatient and outpatient services widened over the course of just a couple of years, a new study from RAND Corporation finds.
In 2022, employers and private insurers paid hospitals on average 254% of what Medicare would have paid for the same care services, a jump from 224% in 2020. There was a 247% difference back in 2018.
The report found there is significant variation by state. Some states, like California, Florida, Georgia, New York, South Carolina, West Virginia and Wisconsin had prices that exceeded 300%, while states like Arkansas, Iowa, Massachusetts, Michigan and Mississippi had prices below 200% of Medicare.
“The utility of this work is that it...
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