5 ms·
Interesting to see this data released, but I'm a little dubious. According to the spreadsheet, Aetna is always paying 100% of list, and SEIU 1199 is always pay
by talos 6y ago
Interesting to see this data released, but I'm a little dubious.
According to the spreadsheet, Aetna is always paying 100% of list, and SEIU 1199 is always paying exactly 50%.
Most of the other private providers are listed with almost-flat discounts (85% for CHP, 71% for Empire, 60% for Healthfirst) with a handful of operations at other price points. Cigna has a little more variety but is mostly listed at 51%.
Only Emblem shows real variety across the board, with prices listed from 21.9% to 174%. It also has the lowest mean/median, at 45% and 34% respectively.
I know from personal experience that Aetna does have negotiated rates with NYP, and the flat discounts for all providers other than Emblem are also suspicious.