10 states where private insurers pay the most, least relative to Medicare

Morgan Haefner –
Tuesday, September 22nd, 2020
Print|Email.

More posts on healthcare financing:8 health systems with strong finances10 ACOs with the most shared cost savings in 2019Chicago health center beats allegations of ghost payroll scheme.

The study examined 750,000 claims for inpatient medical facility stays and 40.2 million claims for outpatient services between 2016 and 2018. The sample consisted of information from 3,112 hospitals across 49 states.

© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this material? View our policies by click on this link.

Nationwide, private insurance providers pay approximately 247 percent more than what Medicare spends for comparable services, according to a RAND Corp. study published Sept. 18..

The Advisory Board mapped where private insurers pay medical facilities the most and least relative to Medicare. Data for Hawaii, North Dakota, Maryland and South Dakota were not available..

Here are the 10 states where private insurance providers pay the most relative to Medicare:.
1. West Virginia: 349.2 percent 2. South Carolina: 349.1 percent 3. Florida: 340 percent 4. Tennessee: 329.5 percent 5. Alaska: 327.5 percent 6. Indiana: 304.1 percent 7. Georgia: 299 percent 8. Minnesota: 295.7 percent 9. Wisconsin: 290.3 percent 10. Virginia: 288.3 percent.
Here are the 10 states where private insurance companies pay the least relative to Medicare:.
1. Arkansas: 186.1 percent 2. Michigan: 193.6 percent 3. Rhode Island: 195.9 percent 4. Nevada: 207.9 percent 5. Pennsylvania: 208.8 percent6. Kentucky: 214.2 percent7. Connecticut: 214.6 percent 8. Utah: 216.1 percent 9. Kansas: 225.9 percent 10. Massachusetts: 227.7 percent.

Florida: 340 percent 4. Virginia: 288.3 percent.
Rhode Island: 195.9 percent 4. Nevada: 207.9 percent 5. Connecticut: 214.6 percent 8.