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Researchers chart path to drastically lower administrative costs of health care

med.stanford.edu

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Re: Researchers chart path to drastically lower administrative costs of health care

#91

Post by andrewlgood »

DonnyV wrote: post #29

Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. No one ever talks about what is the value all these Health Insurance companies bring? The whole point of their existence when they were created was to control costs. Obviously they have failed miserably. Medicare For All handles lowering or eliminating student loans fo…

Free goods have infinite demand. Medicare for All will simply degrade outcomes a lower common denominator. Interestingly, will the government allow private medical practices to exist in a Medicare for All regime? If so, it seems we would simply end up where we are now.

Re: Researchers chart path to drastically lower administrative costs of health care

#92

Post by evgeniysharapov »

I think under "administrative costs" they might have hidden consolidation of the providers market. Anecdote: I wen to podiatrist about 4 years ago and now. The same doctor the same place, everything is the same. Except 4 years ago it was ~ $200 per visit, now I am looking at ~$350. What's changed? His practice became part of the big group footandankle. Similar situation happens with other specialists and family doctors, hospital networks consolidate all they could find in vicinity under their roof. There's no promised administrative cost reduction. Everything goes up in price. But apparently it's a "faux pas" to criticize hospital networks because somehow it reflects may reflect bad on the doctors.

Re: Researchers chart path to drastically lower administrative costs of health care

#93

Post by DonnyV »

JamesBarney wrote: post #78
DonnyV wrote: post #29

Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. No one ever talks about what is the value all these Health Insurance companies bring? The whole point of their existence when they were created was to control costs. Obviously they have failed miserably. Medicare For All handles lowering or eliminating student loans fo…

There are two issues in healthcare. Efficiency and and access. Medicare for all solves the access problem, but it doesn't do anything for the efficiency problem.

Do you know why efficiency is such a problem? Its because people put off going to the doctor because THEY CAN'T AFFORD IT!. Thats why vists sky rocket when people become eligible for Medicare. https://www.uclahealth.org/u-magazine/u-s-ranks-near-bottom-...

Re: Researchers chart path to drastically lower administrative costs of health care

#94

Post by throwaway894345 »

mr_woozy wrote: post #81
HDMI_Cable wrote: post #33

Earlier quoted context omitted.

It really is harder in the US. The standards are much higher in the US than anywhere else. The US only accepts doctors who went to Canadian or American medical schools. And then on top of that, it is much harder to get into a medical school here in NA than practically anywhere else, except maybe India. I know that in the UK you can go directly from high school, meanwhile in the US & Canada you need a 515 MCAT, 3.7 GP…

>The US only accepts doctors who went to Canadian or American medical schools. The fuck are you on about? Why would you think this?

> The fuck are you on about? Why would you think this?

This is the high-brow content that brings me back to HN time and again.

Re: Researchers chart path to drastically lower administrative costs of health care

#95

Post by ClumsyPilot »

trentnix wrote: post #60
DonnyV wrote: post #29

Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. No one ever talks about what is the value all these Health Insurance companies bring? The whole point of their existence when they were created was to control costs. Obviously they have failed miserably. Medicare For All handles lowering or eliminating student loans fo…

> Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. As frustrating and arcane as the current system may be, the government fully in charge for the provisioning (rationing) and financing will only increase 'worthless paper, administrative costs'.

Citation needed

Re: Researchers chart path to drastically lower administrative costs of health care

#97

Post by DonnyV »

trentnix wrote: post #60
DonnyV wrote: post #29

Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. No one ever talks about what is the value all these Health Insurance companies bring? The whole point of their existence when they were created was to control costs. Obviously they have failed miserably. Medicare For All handles lowering or eliminating student loans fo…

> Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. As frustrating and arcane as the current system may be, the government fully in charge for the provisioning (rationing) and financing will only increase 'worthless paper, administrative costs'.

The government would act as an insurer, that is all. All hospital services stay private. And having all medical services have to go through one system to get paid would streamline it SIGNIFICATLY.

Re: Researchers chart path to drastically lower administrative costs of health care

#98

Post by sebmellen »

mr_woozy wrote: post #81
HDMI_Cable wrote: post #33

Earlier quoted context omitted.

It really is harder in the US. The standards are much higher in the US than anywhere else. The US only accepts doctors who went to Canadian or American medical schools. And then on top of that, it is much harder to get into a medical school here in NA than practically anywhere else, except maybe India. I know that in the UK you can go directly from high school, meanwhile in the US & Canada you need a 515 MCAT, 3.7 GP…

>The US only accepts doctors who went to Canadian or American medical schools. The fuck are you on about? Why would you think this?

Ok, in practice the US basically only accepts doctors who went to Canadian or American medical schools.

Re: Researchers chart path to drastically lower administrative costs of health care

#99

Post by lr1970 »

HDMI_Cable wrote: post #33
rscho wrote: post #13

Earlier quoted context omitted.

> For example, the US has extremely high standards restricting who can practice medicine compared to the rest of world Rest of the world, yes. Rest of the developed world, not at all. The major difference is that becoming a doc in the US is much more expensive than pretty much anywhere else. You could also argue it's proportionally harder because of the more numerous competitors. But on an absolute level of knowledge…

It really is harder in the US. The standards are much higher in the US than anywhere else. The US only accepts doctors who went to Canadian or American medical schools. And then on top of that, it is much harder to get into a medical school here in NA than practically anywhere else, except maybe India. I know that in the UK you can go directly from high school, meanwhile in the US & Canada you need a 515 MCAT, 3.7 GP…

> The US only accepts doctors who went to Canadian or American medical schools.

This is factually incorrect. There are tons of doctors that graduated from European, Indian and Chinese medical schools. To practice medicine in the USA they need to pass the ECFMG tests (US graduates take similar USMLE tests) and then complete medical residency. The last part is the hardest, for the medical residency admission offices are routinely discriminating against the foreign medical graduates.

Re: Researchers chart path to drastically lower administrative costs of health care

#100

Post by [deleted] »

not2b wrote: post #59

I'm skeptical, because a key element of the US payment system is that everyone is highly motivated to shift costs to someone else, to be paid more money and to pay out less money, so doctors hire armies of accountants to do battle with similar armies deployed by insurance companies, hospitals, and drug companies. How will they fix that?

[deleted]
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