😱 If you're not concerned, check your pulse!

💸💸💸Did you know Aetna and UHC are using premiums to pay providers close to 1,000% of Medicare for Remicade Infusions in almost every state across the country?... and in some cases, way over!

💡These insights are coming directly out of the Machine-Readable Files (MRFs) posted by UHC and Aetna. See Visual Below.

💻🤓Technical Notes

• Aetna & UHC MRFs - based on In-Network JSON files posted Feb and Mar 2023
• This analysis represents over 10Mil rates for Remicade and was pulled from MRFs containing billions of rates.
• JSONs were ingested into SQL Server
• State was applied using practice location by joining to NPI Registry
• 500mg is Remicade's on label dosing for a 100KG patient (5mg/kg).
• Since each unit of J1745 (Remicade) represents 10mg the rate was multiplied by 50 to get the cost of a 500mg infusion

Link to LinkedIn post: https://www.linkedin.com/posts/briandcotter_pricetransparency-mrf-healthcarecosts-activity-7062235498638905345-dQw2?utm_source=share&utm_medium=member_desktop