A recent study published by RAND found that private health insurers pay more to hospitals for services when compared to their Medicare counterparts.
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A recent study published by RAND found that private health insurers pay more to hospitals for services when compared to their Medicare counterparts. (You should review the report at https://is.gd/ZLESki.) This assignment has you ask the question: Why is that so?
Goal. Your goal is to create a 5-7 page APA-formatted essay arguing why private insurers pay more for services than their Medicare counterparts.
Here are some ideas to begin your research:
Begin your exploration by reading the report at https://is.gd/ZLESki
Do you recall this week’s discussion forum? You may wish to revisit the sources appearing in the discussion forum!
Performing research at KFF (https://www.kff.org/search/?s=medicare+reimbursement)
Find keywords and concepts at https://is.gd/NNqlEP for additional internet searches.
Also, you will need to know about Medicare payment rates using the RVU formula discussed at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MedcrePhysFeeSchedfctsht.pdf and https://mdmanagementgroup.com/?p=4243
Learn about the transparency rule at https://is.gd/qILc1Y
After learning about RBRVS and the transparency rule, formulate and argue for a theory explaining why private insurers (and their customers) pay more for services relative to their Medicare counterpart