The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services

Congressional Budget Office

No 57422, Reports from Congressional Budget Office

Abstract: Commercial health insurers pay much higher prices for hospitals’ and physicians’ services than the Medicare fee-for-service (FFS) program does. In addition, commercial insurers’ prices increase more rapidly and vary much more, both among and within geographic areas, than Medicare FFS’s prices do. CBO looked at possible explanations for those differences, including market power and concentration, input prices, quality of care, and cost shifting.

JEL-codes: I11 I13 I18 (search for similar items in EconPapers)
Date: 2022-01-20
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