Commercial insurers' market power and hospital prices in Medicaid managed care.

ABSTRACT:

Objective

To examine the relationship between insurers' commercial market power and negotiated prices in Medicaid Managed Care (MMC) plans for hospital care.

Data sources

MMC prices from hospital-disclosed price transparency data as of July 2023 compiled by Turquoise Health, insurance enrollment information from the 2021 Clarivate InterStudy enrollment data.

Study design

Log-transformed linear regression with hospital and procedure fixed effects estimating the within-hospital MMC price variation as a function of insurers' commercial market share quartile and MMC market share for 15 common outpatient hospital services.

Data collection/extraction methods

A total of 39,049 MMC price samples measured at hospital-procedure-MMC insurer level are merged with county-in

SUBMITTER: Wang Y 

PROVIDER: S-EPMC11782091 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature