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GAO Report: Comparisons of Selected Services under Fee-for-Service, Managed Care, and Private Insurance
U.S. Government Accountability Office [GAO] Link to more items from this source
July 15, 2014
32 pages. "[In] the 40 states where GAO compared Medicaid [fee-for-service (FFS)] payments to private insurance, FFS payments were 27 to 65 percent lower than private insurance in 31 states; and in the 23 states where GAO compared managed care payments to private insurance, managed care payments were 31 to 65 percent lower than private insurance in 18 states. Among the three types of [evaluation and management] services analyzed (office visits, hospital care, and emergency care), Medicaid payments generally were lower than private insurance for all three types, but the magnitude of the difference was often largest for emergency care and smallest for office visits." [GAO-14-533, Jul. 15, 2014]

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