The 254% Problem: Commercial insurers pay 254% of Medicare for identical hospital procedures
Summary
A data-driven analysis showing that commercial insurers pay 254% of Medicare rates for identical hospital procedures, with a projected $73B/year in potential savings if payments are capped at 200% of Medicare. The project cites CMS HCRIS, RAND, and other sources, and details the methodology and the data pipeline used to compute the estimates.