Podcast: The Heavy Costs of Health Care Coding
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Tuesday, August 2, 2022 | The Latest Research, Commentary, And News From
Health Affairs
Dear John,
Tomorrow, join Health Affairs for a Policy Spotlight with Robert Califf,
the Biden-appointed Commissioner of the FDA, from 1:30 - 2:30 p.m. ET.
Register today
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Administrative Costs
In the United States, commercial health insurers, as well as Medicare
and Medicaid, each have their own rules regarding filing and documenting
claims for payment.
This adds up to significant financial costs and presents a burden on
health care providers who rely upon staff and technology to navigate the
complex system.
Collectively, administrative costs have been estimated to consume
approximately 25-31 percent of total US health care spending-at
least a few hundred billion dollars each year. However, in other
countries, this figure is much lower.
Barak Richman and coauthors conducted a cross-national analysis of
billing and insurance-related health care costs
at six provider locations in five nations.
In their article in the August issue of Health Affairs, the authors
write, "Billing costs range from a low of $6 in Canada for a nonsurgical
inpatient bill to a high of $215 in the US for an inpatient surgical
bill."
Richman also appears on today's episode of A Health Podyssey, diving
deeper into the research findings
and the policy implications with Health Affairs Editor-in-Chief Alan
Weil.
Want to read more? Explore our peer-reviewed journal and unlock the
Health Affairs archive dating back to 1981 by becoming a Health Affairs
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Theresa Kudlick writes about
pediatric "off-label" medications.
Kudlick argues that the public should know that what pediatric
practitioners do is evidence-based
even when ethical or financial concerns prevent the clinical trials
required for full FDA approval.
Mahil Senathirajah and coauthors describe the use of a hospital-level
social needs index
to identify social needs characteristics for prioritizing social
determinants of health investments and supporting intervention design.
Katie Keith discusses Georgia's response to warnings from the
Departments of Health and Human Services and Treasury
that the Georgia Access Model-a broad waiver under Section 1332 of the
Affordable Care Act-was at risk of being suspended.
Health Affairs Forefront provides readers with the latest high-value
health policy news, commentary, and analysis. With your support
we can continue to offer communitywide access to the industry-leading
perspectives featured every day on our digital publication.
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Barak Richman On The Heavy Costs Of Health Care Coding
Barak Richman from Duke University joins Health Affairs Editor-in-Chief
Alan Weil to discuss how insurance-related health spending in the United
States compares to that in other countries.
Listen Here
Daily Digest
Billing And Insurance-Related Administrative Costs: A Cross-National
Analysis
Barak D. Richman et al.
Harnessing Public Interest To Improve Pediatric Off-Label Drug Use At
Long Last
Theresa Kudlick
A Hospital Social Needs Index Would Help Hospitals Collaborate To
Address Social Needs And Health Equity
Mahil Senathirajah et al.
Georgia Pushes Back On 1332 Waiver Suspension; Other 1332 Updates
Katie Keith
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