Payment and pricing decisions in health care reform: rate setting, cost control, and public option proposals

Payment and pricing decisions in health care reform: rate setting, cost control, and public option proposals

Collection:
Health Policy and Services Research
Series Title(s):
Medicare for all and beyond. Conference brief series
Author(s):
Glickman, Aaron, author
Contributor(s):
Leonard Davis Institute of Health Economics, issuing body.
United States of Care, issuing body.
Publication:
[Philadelphia, Pennsylvania] : Leonard Davis Institute of Health Economics, June 2020
Language(s):
English
Format:
Text
Subject(s):
Cost Control
Health Care Reform -- economics
Insurance, Health -- economics
Rate Setting and Review
Medicaid -- economics
Medicare -- economics
United States
Genre(s):
Technical Report
Abstract:
The financial strain on health systems and providers during the COVID-19 pandemic highlights the fragility of our current payment and pricing models. In February 2020, Penn's Leonard Davis Institute of Health Economics (LDI) held a conference, Medicare for All and Beyond: Expanding Coverage, Containing Costs, which included a panel discussion on payment and pricing. Public and private insurers pay strikingly different prices for the same services; one study estimated that commercial health insurers pay nearly 4-5 times as much as Medicare and Medicaid for the kinds of care COVID-19 patients require. The broader issue of payment and pricing will figure heavily in upcoming health care reform debates, and is central to the affordability and sustainability of any proposal.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (6 unnumbered pages)).
NLM Unique ID:
101769659 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101769659