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340B DSH hospitals provide nearly twice as much care as non-340B hospitals – 41.9 percent versus 22.8 percent – to Medicaid beneficiaries and low-income Medicare patients. 340B hospitals provide 40 percent more uncompensated care as a percent of total patient care costs than non-340B hospitals – $24.6 billion to $17.5 billion.
State Trends in Hospital Use by Payer (formerly called Effect of Health Insurance Expansion on Hospital Use and Effect of Medicaid Expansion on Hospital Use). This topic includes statistics from up to 44 States on the number of hospital discharges by payer group. National Hospital Utilization and Costs.
For scale, cutting administrative costs to peer country levels would represent roughly one-third to half the gap. A 2009 study from Price Waterhouse Coopers estimated $210 billion in savings from unnecessary billing and administrative costs, a figure that would be considerably higher in 2015 dollars. [50] Cost variation across hospital regions.
A report published Monday from the Rand Corporation found that in 2022, the prices hospitals charged to private insurance providers were 254% higher than what Medicare would have paid for the same ...
Another savings program will begin in 2025—a $2,000 out-of-pocket cap on prescription drug costs for Medicare Part D enrollees.
A recent study found that an MRI scan of the lower spinal canal cost $1,311 in the commercial market, but only $269 under Medicare. Scattershot pricing seeds at least $230 billion in waste per ...
Its analysis is based on approximately 40 million Medicare discharges for the most recent three-year time period available. [17] Hospital rating reports for specific procedures and diagnoses are compiled primarily from Medicare claim data and include all hospitals that are Medicare participants. [18]
Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [7]