Respondents broadly identified three primary reasons for near payment equivalence: Statutory and regulatory provisions that limit out-of-network payments to traditional Medicare rates, De facto budget constraints that MA plans face because of the need to compete with traditional Medicare and other MA plans, and A market equilibrium that permits relatively lower MA rates as long as commercial rates remain well above the traditional Medicare rates
[DOI] [PMC free article] [PubMed] [Google Scholar] 100.Taracanova A., Alevizos M., Karagkouni A., Weng Z., Norwitz E., Conti P., Leeman S.E., Theoharides T.C
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Most are not
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