Insurers negotiated median hospital prices for commercial plans that were two to three times higher than their MA prices in the same hospital for the same service.
Medicaid managed care insurers play a crucial role in facilitating access to buprenorphine to treat opioid use disorder. We describe provider networks for prescribers in this context.
Objectives - Self-insured employers cover more people than Medicare, Medicaid, or direct purchasers of private insurance.This study examined the ability of self-insured employers to negotiate hospital prices and the relationship between hospital …
This study finds evidence that labor market concentration was associated with higher worker contributions to health plan premiums.
We examine the charges for the most commonly performed COVID-19 diagnostic test (CPT code 87635) and antibody test (CPT code 86769) across facility types and states. We find that a small proportion of COVID-19 diagnostic testing and antibody testing services, provided in selected states, had charges that far exceeded the Medicare rate.
We provide new evidence that weight-related outcomes improved for the severely obese following three recent health insurance expansions.