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Saturday, January 4, 2025

RAND Examine Confirms Increased Reimbursement from Personal Payers


In accordance with a brand new RAND report, costs paid to hospitals throughout 2022 by employers and personal insurers averaged 254 % of what Medicare would have paid. Analysis group RAND acknowledged in a press launch on Could 13 that there’s a large worth variation amongst states. RAND concluded that whereas some states had relative costs beneath 200 % of Medicare, different states had relative costs above 300 % of Medicare.

The research discovered that in 2022, relative costs for inpatient hospital providers averaged 255 % of Medicare costs, outpatient hospital providers averaged 289 %, and related skilled providers averaged 188 % of what Medicare would have paid.

ā€œHospitals account for the most important share of healthcare spending in america, so this report additionally gives priceless data which will assist policymakers concerned with curbing healthcare prices,ā€ director of Rand Well being Care, Peter S. Hussey, mentioned in an announcement.

The American Hospital Affiliation (AHA) questioned the findings of the RAND report. In a Could 13 press launch, group vp for public coverage Molly Smith mentioned, ā€œIn what’s changing into an all too acquainted sample, the RAND Companyā€™s newest hospital worth report oversells and underwhelms. Their evaluationā€¦nonetheless represents lower than 2 % of general hospital spending.ā€

Smith claimed that RAND makes an ā€œapples-to-oranges comparability.ā€ ā€œAlong with the continuing flaw of counting on a self-selected pattern of information, their evaluation is suspiciously silent on the hidden affect of economic insurers in driving up healthcare prices for sufferers,ā€ Smith remarked.

RAND reminded readers, “Spending on hospital providers accounted for 42 % of whole U.S. private healthcare spending for privately insured people in 2022.ā€

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