healthcare pricing

Who Sets Health Care Prices?

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Who Sets Health Care Prices? These prices are set based on CMS’ analysis of labor and resource input costs for different medical services based on recommendations by the American Medical Association. As part of Medicare’s pricing system, relative value units (RVUs) are assigned to every medical procedure. How is healthcare pricing determined? The price is

How Health Care Pricing Works?

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How Health Care Pricing Works? The categories are based on how you and the health plan share the total costs of your care. Generally speaking, categories with higher premiums (Gold, Platinum) pay more of your total costs of health care. Categories with lower premiums (Bronze, Silver) pay less of your total costs. What influences healthcare