3 ms·
25% is perhaps on the high side of estimates, but perfectly plausible. If you prefer citations from JAMA: https://jamanetwork.com/journals/jama/fullarticle/2785
by t0mpr1c3 5mo ago
25% is perhaps on the high side of estimates, but perfectly plausible. If you prefer citations from JAMA: https://jamanetwork.com/journals/jama/fullarticle/2785479 https://jamanetwork.com/journals/jama/fullarticle/2785479
- tptacek 5mo agoThat's all administrative costs. As the abstract says, many of those costs are intrinsic to providing services. Here's JAMA for the BIR, based directly on cost breakdowns in specific real systems: https://jamanetwork.com/journals/jama/fullarticle/2673148 https://jamanetwork.com/journals/jama/fullarticle/2673148
- t0mpr1c3 5mo agoQuoting from the paper you just cited: "Administrative costs have been estimated to represent 25% to 31% of total health care expenditures in the United States, a proportion twice that found in Canada and significantly greater than in all other Organization for Economic Co-operation and Development member nations for which such costs have been studied."
- tptacek 5mo agoSo before we even get into the proportion of admin costs from BIR, you have to cut your number in half. I don't think admin costs are going to end up the real story in US health care. It's overpaying practitioners and overprescribing procedures. There are more MRI machines in Massachusetts than in all of Canada.