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  The Secret Menu in Health Care: A Cash Market for Imaging in California

Epstein, J., Nicholson, S., Wang, L. X., Hempstead, K., & Asin, S. (2020). The Secret Menu in Health Care: A Cash Market for Imaging in California. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. doi:10.1177/0046958020981449.

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Genre: Journal Article

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https://ssrn.com/abstract=3762548 (Preprint)
Description:
Also published as: Max Planck Institute for Innovation & Competition Research Paper No. 21-05

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 Creators:
Epstein, Jordan1, Author
Nicholson, Sean1, Author
Wang, Lucy Xiaolu2, Author              
Hempstead, Katherine1, Author
Asin, Sam1, Author
Affiliations:
1External Organizations, ou_persistent22              
2MPI for Innovation and Competition, Max Planck Society, ou_2035292              

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Free keywords: cash prices, price transparency, cost savings, simulations, imaging, private insurer
 Abstract: In addition to the prices they negotiate with private health insurers, most providers also have a cash price schedule for patients who have the wherewithal to ask and are willing to pay in full when they receive a service. This is the first study that estimates the potential cost saving of allowing privately-insured consumers to observe both in-network negotiated prices and cash prices, which is of particular interest given the growing importance of high-deductible health plans and a recent executive order mandating greater price transparency. Using data from five private health insurers and 142 imaging facilities in the San Francisco Bay Area, we estimate that patients could save between 10% and 22% of their insurer’s in-network price by paying cash. Potential savings are much larger (between 45% and 64% of their insurer’s in-network price) if consumers observe both cash and in-network prices and select the facility in the region offering the lowest price for a particular service.

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Language(s): eng - English
 Dates: 2020-12-25
 Publication Status: Published online
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: -
 Identifiers: DOI: 10.1177/0046958020981449
 Degree: -

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Title: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Source Genre: Journal
 Creator(s):
Affiliations:
Publ. Info: -
Pages: - Volume / Issue: - Sequence Number: - Start / End Page: - Identifier: ISSN: 1945-7243
ZDB: 2147137-X