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Corewell’s former Spectrum Hospitals — the system completed its merger with Beaumont in February 2022 — charges private payers 307% more than the Medicare rate, but only needs 151% of the Medicare rate to break even.
July 25, 2024
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Less than 20% of hospitals in Tennessee are fully compliant with the CMS price transparency rule that went into effect on January 1, 2021.
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Shore Health billed Medicare for outpatient services furnished at its non-hospital facilities as though the services had been provided at one of its hospitals, causing Medicare to overpay Shore Health by $95 million.
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