From a medical group CFO: you mention that private payors subsidize healthcare. While our contracted rates for private insurers are higher than Medicare, they also put more administrative hurdles to jump thru and reject more claims than Medicare. Our overall reimbursement among all claims are similar to Medicare rates. 95% of Medicare rate vs 80% of private rates. We also spend lots of money just to bill and fight with payors.
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From a medical group CFO: you mention that private payors subsidize healthcare. While our contracted rates for private insurers are higher than Medicare, they also put more administrative hurdles to jump thru and reject more claims than Medicare. Our overall reimbursement among all claims are similar to Medicare rates. 95% of Medicare rate vs 80% of private rates. We also spend lots of money just to bill and fight with payors.
Post: My $233 Surgery
Link to comment from June 5, 2022