Cash prices often lower than negotiated rates, study finds

"Hospitals have full discretion to set their chargemaster prices, which, on average, are more than four times the actual cost of care delivery," the Health Affairs study says.

By Alan Goforth | April 11, 2023 at 10:20 AM

A hospital's cash prices and commercial negotiated rates tend to reflect a predetermined and consistent percentage discount from its chargemaster prices, a study reported in Health Affairs found.

Continue Reading for Free

Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
Educational webcasts, white papers, and ebooks from industry thought leaders
Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor

NOT FOR REPRINT

Benefits Sales Strategies

Core and Group Health

1 Here's what self-funded health plans pay indie carriers for administration

2 Pennsylvania governor signs pharmacy benefit manager bill

3 DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

4 House Republican proposes making PBMs fiduciaries

5 Medical stop-loss premiums rise 11.5% for self-funded plans

Insurance
BenefitsPRO Broker Expo 2025 (BPRO)
May 06, 2025 - Boston

The premier educational and networking event for employee benefits brokers and agents.
More Information
Consulting
Consulting Best Firms to Work For 2024
September 12, 2024 - New York

Consulting Magazine identifies the best firms to work for in the consulting profession.
More Information
GlobeSt. Multifamily Fall 2024
October 15, 2024 - Los Angeles

Join the industry's top owners, investors, developers, brokers & financiers at THE MULTIFAMILY EVENT OF THE YEAR!
More Information

4 ways to adapt small group benefits for the modern workforce

By Sandy Kenslow | July 26, 2024

Offering a wider range of benefits demonstrates to employees that the organization cares about their needs and understands that each employee may have different needs.

4 ways to adapt small group benefits for the modern workforce

DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

By Lynn Cavanaugh | July 26, 2024

A preliminary injunction, granted Thursday by a federal judge, puts the implementation of the Labor Department's controversial new Retirement Security Rule, set to take effect September 23, on hold until further order of the court.

DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

Why the PBM industry faces a very different future

By Javier Gonzalez | July 25, 2024

The PBM industry is currently experiencing a confluence of technological, regulatory, and marketplace changes that will impact PBMs that operate with opaque business practices and antiquated technology.

Why the PBM industry faces a very different future

Reflecting on Two Decades of Managed Accounts: Trends, Insights and Future Vision link

Report

Sponsored by Edelman Financial Engines

Reflecting on Two Decades of Managed Accounts: Trends, Insights and Future Vision

Edelman Financial Engines' new report features data and insights gained from 20 years of helping employees save for retirement through its industry-leading managed account program, exploring historical managed account member characteristics, noteworthy behavioral trends, and tendencies related to their investments.

Browse More Resources ›

4 Ways Self-Funded Health Plans Benefit Companies of All Sizes link

White Paper

Sponsored by Health Care Administrators Association (HCAA)

4 Ways Self-Funded Health Plans Benefit Companies of All Sizes

Discover how self-funded health plans and Third Party Administrators (TPAs) can significantly improve healthcare cost management for companies. Explore the advantages that empower employers of all sizes to optimize benefits while effectively controlling expenses.

Browse More Resources ›

How to Provide Health Insurance to Small & Medium Business Employees link

White Paper

Instant Insights /

Cash prices often lower than negotiated rates, study finds

Continue Reading for Free

1 Here's what self-funded health plans pay indie carriers for administration

2 Pennsylvania governor signs pharmacy benefit manager bill

3 DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

4 House Republican proposes making PBMs fiduciaries

5 Medical stop-loss premiums rise 11.5% for self-funded plans

4 ways to adapt small group benefits for the modern workforce

DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

Why the PBM industry faces a very different future

BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

Instant Insights /

Cash prices often lower than negotiated rates, study finds

Continue Reading for Free

Dig Deeper

Trending Stories

1 Here's what self-funded health plans pay indie carriers for administration

2 Pennsylvania governor signs pharmacy benefit manager bill

3 DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

4 House Republican proposes making PBMs fiduciaries

5 Medical stop-loss premiums rise 11.5% for self-funded plans

Events

Recommended Stories

4 ways to adapt small group benefits for the modern workforce

DOL's new fiduciary rule on hold, as judge grants insurer groups' request for injunction

Why the PBM industry faces a very different future

Resource Center

BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!