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Unchecked Provider Clout in California Foreshadows Challenges to Health Reform
By admin | February 26, 2010
A Web First article from the journal Health Affairs, supported by CHCF, examines the market power of California hospitals and physicians to negotiate higher payment rates. While the high cost of private health insurance has drawn plenty of attention in the national health reform debate, this underlying driver of higher insurance premiums has gone largely unexamined, according to a Center for Studying Health System Change (HSC) study.
The study examines the growing market power of many California hospitals and physicians. Providers are using various strategies, such as tighter alignment of hospitals and physician groups, to negotiate significantly higher payment rates from private insurers, the study finds.
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