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OHA report: Commercial insurers pay Oregon hospitals twice what Medicare pays for same services
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Commercial health plans pay an extra $621M over Medicare for same services, OHA finds
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In a report and accompanying dataset released last week, the Oregon Health Authority (OHA) shows that in 2019 commercial insurers paid Oregon hospitals double what Medicare paid for the same services. The weighted average shows hospitals were paid 178% of the comparable Medicare fee-for-service (FFS) rate for inpatient hospital services and 247% for outpatient hospital services. This means employer-sponsored plans pay far more for hospital services, which costs businesses more in premiums, and costs people more in deductibles, co-pays and other out-of-pocket expenses. "The pandemic has shown how critical it is for every person in Oregon to have affordable health insurance that allows them to access the care they need, when they need it," said Jeremy Vandehey, Director of the Health Policy and Analytics division of OHA "Unfortunately, costs are too high for too many. This data and analysis supports our work to create transparency on health care costs so we can collec
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