Large employers don’t have enough power to negotiate hospital prices, study says

Self-insured employers face low market power, stripping them of their ability to negotiate for lower prices with providers, according to a study. 

Advertisement

Published July 13 in the American Journal of Managed Care, the study drew a line between hospital price negotiating power and employer market power. 

Studying at the metropolitan statistical area level, researchers found that while greater market power does not necessarily result in lower negotiated prices, self-insured employers are stuck trying to utilize centers of excellence, incentivizing in-network care and encouraging generic drug usage. Even with these efforts, hospitals hold the cards in what they charge, the study said.

The study offered two options to gain some power at the table: leverage employer coalitions to pool employees or work with local government on purchasing alliances. 

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Financial Management

  • Baylor College of Medicine and Texas Children’s Hospital established an affiliation more than 70 years ago in the Texas Medical…

  • Fitch revised Ontario, Calif.-based Prime Healthcare Services’ outlook to positive and affirms its “B” rating.  The revised outlook reflects Fitch’s…

  • Brentwood, Tenn.-based Lifepoint Health, a health system owned by private equity firm Apollo Global Management, has largely grown over the…

Advertisement

Comments are closed.