Inpatient Prices In Medicare Advantage Vary Modestly Across And Within Hospitals

Medicare Advantage (MA) provider prices are, on average, similar to those of traditional Medicare; however, prices may vary across hospitals or insurers. Using national data, we found that MA prices averaged 97 percent of traditional Medicare prices. Although only 39 percent of hospitals in our sample had average inpatient MA prices within 5 percent of traditional Medicare prices, MA prices varied far less than commercial or Medicaid prices.

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Publication Details

Journal
Health Affairs
Published
2025-10-01
DOI
https://doi.org/10.1377/hlthaff.2025.00408
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Inpatient Prices In Medicare Advantage Vary Modestly Across And Within Hospitals

David J. Meyers, Geronimo Bejarano, Mark Katz Meiselbach, Erin E. Trish et al.
Health Affairs
Healthcare Policy and Management
article

Inpatient Prices In Medicare Advantage Vary Modestly Across And Within Hospitals

David J. Meyers, Geronimo Bejarano, Mark Katz Meiselbach, Erin E. Trish, Grace Mackleby
article en

Abstract

Medicare Advantage (MA) provider prices are, on average, similar to those of traditional Medicare; however, prices may vary across hospitals or insurers. Using national data, we found that MA prices averaged 97 percent of traditional Medicare prices. Although only 39 percent of hospitals in our sample had average inpatient MA prices within 5 percent of traditional Medicare prices, MA prices varied far less than commercial or Medicaid prices.

Health AffairsVol. 44(10)
University of Southern California (US), Johns Hopkins University (US), John Brown University (US), Brown University (US)
Openalex Percentile: Top 64%
Healthcare Policy and Management
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