Healthcare cost and policy

The RAND hospital price study and the cash-pay underpayment claim

Originally posted by

This can’t be true unless hospitals are chronically underpaid by cash paying customers.

“"The RAND study only underscores what we already know — that hospitals are chronically underpaid for Medicare services. Anything beyond that should be taken with a healthy measure of skepticism," the American Hospital Association said in a statement.”

If that’s the case, the question is: why would so many very smart people set cash prices so far below the cost of care?

Thanks to the CAA, we can see hospital charges for all payers. Medicaid is chronically low, but Medicare and Cash Pay prices are very close. It’s the 180 million Americans who are covered by employer sponsored insurance that take a beating with excessive prices.

Don’t believe me? Go take a look for yourself in the Hospital’s own published data.

Sources

  • Consolidated Appropriations Act, 2021

Originally posted on LinkedIn, where the discussion and source links live in the comments.

About the author

Chris Vanderwolk is Director of Compliance and Innovation at OneDigital | Kistler Tiffany Benefits General Agency, where he helps brokers and employers navigate the regulatory complexity of employee benefits. An ERISA attorney with more than 19 years in the benefits industry, he specializes in translating what the law actually requires into language people can use.

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