Commercial insurers pay hospitals much more than Medicare in some areas than others, and a new study found that local market factors, including hospital dominance, help explain these growing price ...
A national survey demonstrated differences in organizational capacity between hospitals participating in Medicare bundled payment programs and those coparticipating in both Medicare and commercial ...
As we reported in our Managed Care Newsletter in April 2020, the CARES Act passed by Congress last year provides for a 20% increase to the DRG weights in the Medicare Inpatient Prospective Payment ...
Hospitals charge employer health plans more than 2 times what they charge Medicare for same services
Employers and private insurers paid 224% of what Medicare would pay for the same services at the same facilities across all hospital inpatient and outpatient services on average in 2020, according to ...
Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with ...
Medicare saw a 14 percent dip in anticipated payments to physicians in 2020, but telehealth simultaneously stepped into the limelight to make up a larger share of Medicare spending, according to an ...
Private insurers generally pay physicians higher rates than Medicare does for the same service but some specialties are winning out with significant commercial markups. Specialties such as cardiology ...
Allowed in-network charges for fixed-wing air ambulances rose 76% between 2017 and 2020, and now top $15,000, a new study by Fair Health found. The average charge rose 27.6% during the same time ...
Medicare's largest alternative payment model produced its highest annual savings to date in 2020, as shown by performance data released this week by the Centers for Medicare and Medicaid Services. The ...
Deferment of elective care and uncertainty over safety procedures were among drivers of decreased utilization, analyst says. A recent Avalere Health report shows decreased Medicare utilization in the ...
During the first six months of 2020, physicians reported $9.4 billion less in Medicare claims than expected at the start of the year, with spending down 19% as seniors deferred care during the ...
At the start of the COVID-19 pandemic, Medicare spending on lab tests increased overall, despite spending for non-COVID-19 tests falling for the first time since 2016, according to the Office of the ...
Results that may be inaccessible to you are currently showing.
Hide inaccessible results
Feedback