Joint Study Results
[By Staff Reporters]
The American Hospital Association, Blue Cross / Blue Shield Association, Premera Blue Cross and America’s Health Insurance Plans recently released a study on public and private health insurance payment rates prepared by the actuarial firm Milliman, Inc.
Findings-in-Brief
- Hospitals lost $30 billion on Medicare and Medicaid
- Hospitals earn $66 billion on commercial business
- Hospitals lost $13 billion on uninsured patients
Privates Employers Hit
Private sector employers, employees and their families pay about 10-11% more than they would otherwise pay for health insurance – to fund the operating deficits created by Medicare and Medicaid.
Assessment
Specifically, Milliman indicated cost shifting is worth a $51 billion differential in hospital payments, and a $40 billion differential in payments to physicians.
Full report: http://www.ahip.org/content/default.aspx?docid=25216
Conclusion
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A New Way Insurers Are Shifting Costs to the Sick
According to Charles Ornstein, by charging higher prices for generic drugs that treat certain illness, health insurers may be violating the spirit of the Affordable Care Act, which bans discrimination against those with pre-existing conditions.
https://blu171.mail.live.com/?tid=cm0u0OCn8-5BGWHwAcxO2YhA2&fid=flinbox
The classic “spirit” versus “letter” of-the-law conundrum; don’t you think?
Ann Miller RN MHA
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