Cybersecurity News by Jose Bolanos MD
Cybersecurity Audio Podcast - Nimbus-Key ID
81a Podcast: Unmasking the Hidden Healthcare Cost Burden.
0:00
-15:31

81a Podcast: Unmasking the Hidden Healthcare Cost Burden.

How Contract-Based Payment Rates, Retail Pricing, and AI Innovations Can Reshape the Future of U.S. Healthcare

1. The Healthcare Pricing Crisis: An Economy of "Fraudulent Retail Prices".

The U.S. healthcare pricing system is built on a foundation of contract-based negotiations between hospitals, insurers, and sometimes, doctors. The rates in these contracts rarely reflect the actual costs of care; instead, they are often set at 10-30% of the charges listed on hospitals' chargemasters—a document that displays a hospital's "full price" for services. This inflated list of charges does not reflect what insurers actually pay, but serves as a starting point for negotiations. In many cases, the charges are intentionally inflated to provide hospitals with negotiating leverage when dealing with insurers.


Digital ID Protecting Enterprise Logins!

Request Meeting and Demo | Nimbus-Key ID!

Discussion about this episode

User's avatar