Part D Beneficiaries’ Incentives and Responses Under Preferred Pharmacy NetworksApril 4th 2023
Under preferred pharmacy networks, unsubsidized Part D beneficiaries faced substantial incentives and moderately switched toward preferred pharmacies, whereas subsidized beneficiaries were insulated and demonstrated little switching.
Insurers Negotiate Lower Hospital Prices for HIX Than for Commercial GroupsSeptember 15th 2022
Hospital price transparency data suggest that health insurance exchange (HIX) plans get lower negotiated rates than commercial group plans and higher negotiated rates than Medicare Advantage plans.
Commercial and Medicare Advantage Payment for Anesthesiology ServicesJune 16th 2021
Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with traditional Medicare prices.