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> Administrative costs include spending on running governmental health programs and overhead from insurers, but exclude administrative expenditures from healthc
by istjohn 2y ago
> Administrative costs include spending on running governmental health programs and overhead from insurers, but exclude administrative expenditures from healthcare providers.
From what I've read, healthcare providers spend an inordinant amount of time and effort dealing with insurance companies.
- rickydroll 2y agoDon't forget the overhead created by PBMs and when insurance companies also own the PBM and the drugstore
- burnte 2y agoCorrect, it's cost both for insurers AND provider organizations. We have an entire team of humans who call insurance companies on the telephone to verify insurance benefits because most insurers make it EXTREMELY difficult to determine benefits in an automated manner because that makes it easier to bill them. They do everything they can to make it difficult for patients to get coverage and for providers to collect. We're actually working with an AI company to build a tool that uses AI and lots of data to predict with better accuracy benefit coverage. All because insurers want barriers to treatment to lower their costs.