Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US

被引:5
|
作者
Levinson, Zachary [1 ]
Qureshi, Nabeel [2 ]
Liu, Jodi L. [2 ]
Whaley, Christopher M. [2 ]
机构
[1] RAND Corp, Arlington, VA 22202 USA
[2] RAND Corp, Santa Monica, CA USA
关键词
TRADITIONAL MEDICARE; PAYMENT RATES; CARE; INSURANCE;
D O I
10.1377/hlthaff.2021.01476
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Commercial health plans pay higher prices than public payers for hospital care, which accounts for more than 5 percent of US gross domestic product. Crafting effective policy responses requires monitoring trends and identifying sources of variation. Relying on data from the Healthcare Provider Cost Reporting Information System, we describe how commercial hospital payment rates changed relative to Medicare rates during 2012-19 and how trends differed by hospital referral region (HRR). We found that average commercial-to-Medicare price ratios were relatively stable, but trends varied substantially across HRRs. Among HRRs with high price ratios in 2012, ratios increased by 38 percentage points in regions in the top quartile of growth and decreased by 38 percentage points in regions in the bottom quartile. Our findings suggest that restraining the growth rate of HRR commercial hospital price ratios to the national average during our sample period would have reduced aggregate spending by $39 billion in 2019.
引用
收藏
页码:516 / 522
页数:7
相关论文
共 43 条
  • [1] How Do the Hospital Prices Paid by Medicare Advantage Plans and Commercial Plans Compare With Medicare Fee-for-Service Prices?
    Maeda, Jared Lane K.
    Nelson, Lyle
    [J]. INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING, 2018, 55
  • [2] State Efforts to Lower Health Care Prices Paid by Private Insurers
    Sen, Aditi P.
    Willink, Amber
    Anderson, Gerard F.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 322 (03): : 201 - 202
  • [3] SCREENING FOR ALCOHOL PROBLEMS IN PRIVATE US HEALTH PLANS
    Horgan, C. M.
    Garnick, D. W.
    Stewart, M. T.
    Reif, S.
    Merrick, E. L.
    Hodgkin, D.
    Quinn, A.
    [J]. ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2012, 36 : 16A - 16A
  • [4] SCREENING FOR ALCOHOL PROBLEMS IN PRIVATE US HEALTH PLANS
    Horgan, C. M.
    Garnick, D. W.
    Stewart, M. T.
    Quinn, A.
    Reif, S.
    Merrick, E. L.
    Hodgkin, D.
    [J]. ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2013, 37 : 196A - 196A
  • [5] "Mind boggling" variation in hospital prices is seen across US
    McCarthy, Michael
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2015, 351
  • [6] MORTALITY EFFECTS AND CHOICE ACROSS PRIVATE HEALTH INSURANCE PLANS
    Abaluck, Jason
    Bravo, Mauricio Caceres
    Hull, Peter
    Starc, Amanda
    [J]. QUARTERLY JOURNAL OF ECONOMICS, 2021, 136 (03): : 1557 - 1610
  • [7] Variation in US Private Health Plans' Coverage of Orphan Drugs
    Chambers, James D.
    Panzer, Ari D.
    Kim, David D.
    Margaretos, Nikoletta M.
    Neumann, Peter J.
    [J]. AMERICAN JOURNAL OF MANAGED CARE, 2019, 25 (10): : 508 - 512
  • [8] Findings Related to Assessing Value for Private US Health Plans
    Bresnahan, Brian W.
    Neumann, Peter J.
    Carlson, Rick
    Garrison, Louis P.
    Sullivan, Sean D.
    [J]. AMERICAN JOURNAL OF PHARMACY BENEFITS, 2010, 2 (03) : 219 - 228
  • [9] Medicaid professional fees for treatment of opioid use disorder varied widely across states and were substantially below fees paid by medicare in 2021
    Clemans-Cope, Lisa
    Lynch, Victoria
    Payton, Maya
    Aarons, Joshua
    [J]. SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, 2022, 17 (01)
  • [10] Medicaid professional fees for treatment of opioid use disorder varied widely across states and were substantially below fees paid by medicare in 2021
    Lisa Clemans-Cope
    Victoria Lynch
    Maya Payton
    Joshua Aarons
    [J]. Substance Abuse Treatment, Prevention, and Policy, 17