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An Analysis of Private-Sector Prices for Hospital Admissions: Working Paper 2017-02

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  • Jared Lane Maeda
  • Lyle Nelson

Abstract

Prices for hospital admissions have received considerable attention in recent years, both because they are an important component of health care spending and because they can vary widely. In this paper, we use 2013 claims data from three large insurers to examine the hospital payment rates of those insurers in their commercial plans and their Medicare Advantage plans and compare them with Medicare’s fee-for-service (FFS) rates; we also examine the variation of those rates across and within markets. We found that the average commercial payment rate for a hospital admission

Suggested Citation

  • Jared Lane Maeda & Lyle Nelson, 2017. "An Analysis of Private-Sector Prices for Hospital Admissions: Working Paper 2017-02," Working Papers 52567, Congressional Budget Office.
    • Handle: RePEc:cbo:wpaper:52567
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    File URL: https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/52567-hospitalprices.pdf
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    Cited by:

    1. Mark Shepard & Katherine Baicker & Jonathan Skinner, 2020. "Does One Medicare Fit All? The Economics of Uniform Health Insurance Benefits," Tax Policy and the Economy, University of Chicago Press, vol. 34(1), pages 1-41.
    2. Brent D Fulton & David G Proudman & Hannah A Sample & Jeffrey M Gelfand & Charles Y Chiu & Joseph L DeRisi & Michael R Wilson, 2020. "Exploratory analysis of the potential for advanced diagnostic testing to reduce healthcare expenditures of patients hospitalized with meningitis or encephalitis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    3. Avi Dor & William Encinosa & Kathleen Carey, 2020. "Hospital performance standards and medical pricing: The impact of information disclosure in cardiac care," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 29(3), pages 492-515, July.
    4. Daria Pelech, 2018. "An Analysis of Private-Sector Prices for Physicians’ Services: Working Paper 2018-01," Working Papers 53441, Congressional Budget Office.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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