This study from @zackcooperYale and @MartinSGaynor is one of the most revealing health policy studies I’ve read this year.https://www.vox.com/policy-and-politics/2018/5/9/17337134/health-care-costs-hospital-rates-insurance …
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Anyway, this is all to say you should read this paper! The end. http://www.healthcarepricingproject.org/sites/default/files/20180507_variationmanuscript_0.pdf …
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Is there a compilation of hospitals' facility fees that exists? Turns out that several physicians I have asked about their hospital had no idea what that actual amount is.
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And bigger hospitals can demand higher prices. It's a two-way negotiation. Brand name hospitals basically tell insurers how much they should be paid, because a payer can't offer a network without the academic medical centers in it.
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Children's hospitals are the worst!
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Which of course is why hospitals want to consolidate, so they can demand higher prices.
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It's not a plan-by-plan issue as much as an insurer-by-insurer issue. An insurer with big market share in a particular geographic area will have have better leverage over a local hospital than an insurer with little market share, and will get lower rates.
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If that's true, then why does the higher volume plan (blue circles) pay higher prices?
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It is interesting to consider that I might be getting the LOW price....
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Ahh, got to differentiate between charges and collections here. Are they charged the same?
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