Originally Posted by MichaelB
My sense is this is something that is being talked about but there is no data to back it up. In other words, more of a lobby talking point, not too different from what we hear about Medicare rates.
Not sure what you mean about Medicare rates being just a "talking point" with "no data to back it up". Medicare rates are within the public domain
& widely discussed. For example, actual state-specific Medicare payment rates for many common office services are available from US gov't here (2012)-
Re Exchange Plan provider fees- It is not surprising that these are not published given the long-standing position of the FTC strongly DIScouraging providers from openly discussing specific charge/payment data. To be covered under FTC "safe haven" from antitrust prosecution, providers fee info "available" to competitors must be collected by a 3rd party and be more than 3 mo old.
Competition in the Health Care Marketplace - Industry Guidance - Statements of Health Care Antitrust Enforcement Policy
Thus, for now the only "data" the public is likely to see on this is from large independent surveys (e.g. MGMA). IMHO- This makes NO sense when gov't is expecting folks to consider cost-containment when shopping for their Exchange Plan.