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Hospital Outpatient Prices Sharply Higher than Docs', Study Finds
Hospital outpatient prices for standard blood tests, cancer screening and other services varied widely and were sharply higher, on average, than prices charged by ambulatory clinics and independent doctors, an analysis of autoworker health-plan spending across 18 cities has found.
Hospital outpatient prices for standard blood tests, cancer screening and other services varied widely and were sharply higher, on average, than prices charged by ambulatory clinics and independent doctors, an analysis of autoworker health-plan spending across 18 cities has found.
The study, based on 2011 health plan spending by Chrysler, Ford Motor Co., General Motors and the United Auto Workers, uncovered whopping price disparities for care that accounted for $68 million in claims that year, including blood work to test cholesterol levels, colonoscopies and physical therapy.
Results, published by the National Institute for Health Care Reform, found hospital outpatient prices varied across 18 cities. Notably, hospital outpatient prices also varied widely among competitors within the same city. That suggests the force behind high hospital prices may be more than high overhead, said James Reschovsky, a senior fellow with Mathematica Policy Research and co-author of the study.
Read the full story here: http://bit.ly/1mwHICO
Source: Modern Healthcare
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Bridging the Vaccination Gap: Insights on Global Immunization Challenges
July 30th 2024On this episode of Managed Care Cast, we speak with Jeffery A. Goad, PharmD, MPH, 2024-2025 president of the National Foundation for Infectious Diseases, on the recent report from the World Health Organization and UNICEF on public immunization rates, with national and global health implications.
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