Reducing administrative costs in US health care: Assessing single payer and its alternatives.

ABSTRACT:

Objective

Excess administrative costs in the US health care system are routinely referenced as a justification for comprehensive reform. While there is agreement that these costs are too high, there is little understanding of what generates administrative costs and what policy options might mitigate them.

Data sources

Literature review and national utilization and expenditure data.

Study design

We developed a simulation model of physician billing and insurance-related (BIR) costs to estimate how certain policy reforms would generate savings. Our model is based on structural elements of the payment process in the United States and considers each provider's number of health plan contracts, the number of features in each health plan, the clinical and nonclinical processe

SUBMITTER: Scheinker D 

PROVIDER: S-EPMC8313956 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature