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Kansas Knows What Hospitals Get Paid, But Says It Can't Tell A Group That Compares Prices Nationally


The Kansas Insurance Department says
state regulations only allow it to share aggregated data, and certainly not trade secrets.
In past years, RAND’s research has revealed stunning variations in prices at hospitals across the country and even within states, that experts consider difficult to explain with factors such as quality or cost of living.
Even without state cooperation, RAND managed to get a hold of nearly $15 million in hospital bills from Kansas for last year’s report. Those came from employers.
RAND found large employer health plans typically paid about
two-and-a-half times what Medicare does for outpatient care, and nearly as much for inpatient care. But really it depends on where you live. ....

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El contagio de covid-19 se da en fiestas

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Christopher Whaley , Jama Internal , கிறிஸ்டோபர் வேலீ , ஜமா உள் ,

High costs, low-value healthcare linked to hospital doctors


Print
Healthcare costs and low-value care tend to increase when hospitals acquire physicians, new studies published in Health Affairs show.
The number of diagnostic and lab tests performed in hospitals versus unaffiliated facilities increased after doctors were acquired by hospitals, which inflated healthcare costs, according to an analysis of 30 million imaging procedures and 341 million lab tests billed to Medicare. While more tests could benefit patients, physicians employed by hospitals were more likely to order inappropriate magnetic resonance imaging tests, a companion analysis of the commercial claims associated with 583 primary-care doctors who transitioned from independent practice to hospital employment found.
There has been a defining shift in the way healthcare services are organized and managed, said Gary Young, the lead author of the value-oriented study and director of the Center for Health Policy and Healthcare Research at Northeastern University. Ve ....

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