[HTML][HTML] Prices paid to hospitals by private health plans are high relative to Medicare and vary widely: findings from an employer-led transparency initiative
Large price discrepancies exist between what private health plans pay for hospital services
and what Medicare pays. RAND Corporation researchers used data from three sources …
and what Medicare pays. RAND Corporation researchers used data from three sources …
Hospital Prices For Commercial Plans Are Twice Those For Medicare Advantage Plans When Negotiated By The Same Insurer: Study compares commercial-to …
Most major insurers operate in both the commercial health insurance and Medicare
Advantage (MA) markets. We investigated the ratio of commercial-to-MA prices negotiated …
Advantage (MA) markets. We investigated the ratio of commercial-to-MA prices negotiated …
The industrial organization of health care markets
In this chapter we outline the tools that have been developed to model and analyze
competition and regulation in health care markets, and describe particular papers that apply …
competition and regulation in health care markets, and describe particular papers that apply …
Do insurers with greater market power negotiate consistently lower prices for hospital care? Evidence from hospital price transparency data
This study examined if greater insurer market power was associated with consistently lower
negotiated prices within each hospital for 44 shoppable and emergency procedures, using …
negotiated prices within each hospital for 44 shoppable and emergency procedures, using …
Price transparency implementation: accessibility of hospital chargemasters and variation in hospital pricing after CMS mandate
Background National regulations have increasingly focused on transparency in hospital
billing and pricing practices. A January 2019 federal mandate required hospitals to publicize …
billing and pricing practices. A January 2019 federal mandate required hospitals to publicize …
Price dispersion in an online health marketplace: Evidence from telemedicine services in China
Online health care marketplaces have emerged with the adoption of telemedicine during the
COVID-19 pandemic. Despite its readily available information on price and quality, we …
COVID-19 pandemic. Despite its readily available information on price and quality, we …
Negotiated Rates for Surgical Cancer Care in the Era of Price Transparency—Prices Reflect Market Competition
DH Rochlin, NM Rizk, E Matros, TH Wagner… - Annals of …, 2024 - journals.lww.com
Objective: To measure commercial price variation for cancer surgery within and across
hospitals. Background: Surgical care for solid-organ tumors is costly, and negotiated …
hospitals. Background: Surgical care for solid-organ tumors is costly, and negotiated …
Hospital resource allocation decisions when market prices exceed Medicare prices
Objective To examine nonprofit hospitals' financial and spending allocations when the
private sector payment rate is higher than the Medicare's payment rate. Data Sources …
private sector payment rate is higher than the Medicare's payment rate. Data Sources …
[HTML][HTML] Sources of specialist physician fee variation: Evidence from Australian health insurance claims data
This study explores the variation in specialist physician fees and examines whether the
variation can be attributed to patient risk factors, variation between physicians, medical …
variation can be attributed to patient risk factors, variation between physicians, medical …
Alternative payment models and physician treatment decisions: Evidence from lower back pain
The capitated payment model has been used to address the high cost of health care. Under
capitation, physicians are compensated with a fixed amount per patient, regardless of the …
capitation, physicians are compensated with a fixed amount per patient, regardless of the …