A new report by the RAND Institute shows that hospitals are charging private insurers 254% of what Medicare would have paid for both inpatient and outpatient services.
Spending on hospital services accounted for 42% of total U.S. personal healthcare spending for privately insured individuals in 2022. The RAND Report Press...
COVID-19 has shined a bright light on so many problems in America, one of them is racial disparities in healthcare. One root cause of that, according to new research, may be price discrimination: the discrepancy between hospital payments from public and private health plans.
New research from the New England Journal of Medicine...Arizona News
Hospital prices continue to be scrutinized as employer groups deem costs way too high and pressure from the Trump Administration to publish negotiated prices increases.
According to a Rand report, significant discrepancies were found between what private health plans pay for hospital services versus Medicare, highlighting that...CMS Rules
After the publication of the Outpatient Prospective Payment System (OPPS) on Friday, the Trump Administration is holding off on a controversial transparency rule that would require hospitals to publicly post all privately negotiated payer rates. The Centers for Medicare and Medicaid Services (CMS) has promised to issue a "forthcoming...National News
According to a widely reported May 2018 study, "The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured," researchers found hospital prices rather than physician charges drove healthcare spending growth for the privately insured.
The authors of the study argue that because most healthcare pricing data...