Similar to Medicare, commercial insurers are seeing substantially higher prices when care is delivered in a hospital outpatient department as opposed to an ambulatory surgical center, according to a multipayer analysis. However, just how much those prices increase varies substantially between individual commercial payers, suggesting there’s more room for insurers to push down spending via selective provider contracting, Brown University researchers wrote in their Health Affairs study. Among three major commercial payers covering 13 common procedures in 2024, researchers outlined prices 78% higher, or $1,489 higher, in HOPDs compared to ASCs.
Read the full article: Commercial Insurers Paying $1,500 More per Procedure at HOPDs Than ASCs: Study //
Source: https://www.fiercehealthcare.com/payers/commercial-insurers-paying-1500-more-procedure-hopds-ascs-study