112 - Variation in Provider Reimbursement Levelsclosely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Variation in Total Claims Costs Total Cost of Care is driven by three factors Utilization – for example ...
Description: This session will explore the variation in provider payment rates across the United States and within markets. Percent of Medicare reimbursement averages will be presented, as well as information on the distribution of payment levels for individual markets and service types. The session will analyze what types of claims drive overall reimbursement levels and reimbursement variation. The session will focus on the commercial employer group insurance market.Hide
- Authors: Charles Mills
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Health & Disability>Health insurance