Sutter Health Insurance Case Study

Insurance company reimbursement rates are seldom available to the public. Most patients are privy to these reimbursement rates only after their claim is processed. After reviewing the charge rates and reimbursement rates of Sutter Health, a system of not-for-profit hospitals and physician groups, disparities between hospital charges and disparities between insurance reimbursements were identified.
The results revealed that a hospital charges different rates for the same procedures. These rates are dependent upon the insurance status of the patient. If the patient is uninsured, that patient is given discounts for the services provided. Additionally, further discounts are provided to patients that pay early.
If the patient is insured, third