A quick pointer to a topic of ongoing interest - the gap between Medicaid prices and Medicare prices.
See article by Skopec at Health Affairs, May 2025.
https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2024.01530
Medcaid fees to physicians "for a basket of services" run about 75% of Medicare. They also write:
- Medicaid physician fees were approximately 71 percent of Medicare physician fees in 2024, including
- 69 percent for office visits,
- 68 percent for hospital and emergency department visits,
- 87 percent for obstetric care, and
- 79 percent for other services under our updated approach.
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Here's a search you can run yourself in Google, I'm just reporting the topline Google results and I haven't researched the info links provided (in Google-AI format as response to search). Google - medicare versus commercial insurance rates
- Hospital services - commercial insurers pay nearly double.
- Commercial insurance pays 143% of Medicare for physicians, some specialties higher.
- [Hospital] Outpatient services, commercial pays 289% of Medicare
