Tuesday, January 17, 2017

Large Doctor's Offices Are Paid $14/Visit More Than Small Offices


Health Affairs recently published a study on reimbursement differences between small and large insurers and doctor's offices. Here are some key findings from the report:

Small insurers (5%- market share) are billed $86 for a routine doctor's office visit.
Medium insurers are billed $70 for a routine doctor's office visit.
Large insurers (15%+ market share) are billed $68 for a routine visit.
Small doctor's offices are paid $72 average for a routine visit.
Medium doctor's offices are paid $77 average for a routine visit.
Large doctor's offices are paid $86 average for a routine visit.

 
Source: The Washington Post, January 9, 2017

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