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Old 12-27-2017, 11:01 AM
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Default Re: Report: Medicaid enrollment, costs swell under ObamaCare expansion

Originally Posted by AZRWinger View Post
Medicare dictates reimbursement rates to healthcare providers whereas private insurance providers don't have the power to dictate cut rate reimbursement. It is likely part of the cost of private care offsets the loss from low Medicare rates.
Mmmmm.... private insurance negotiates payment rates (reimbursement) with medical providers based on groupings called Reasonable & Customary, sometimes based on zip codes, because not all areas have the same cost factors for procedures. Networks also have negotiations for doctors and hospitals.

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