We do a lot of development work for client's in the medical and medical billing department.
> Decrease in administrative overhead, calculated by extrapolating the overhead in medicare to the entire US healthcare economy.
That doesn't strike me as unlikely at all. Maybe their extrapolation is aggressive, but there are people at nearly every practice who spend a large portion of their day just managing the billing of cases to insurance companies.
The amount of work that goes into billing a case to insurance companies is really insane. It tends to be a very manual process, because every insurance company is different.
i've done medical billing systems too and it is, indeed, crazy but what's make you think the gov. would be any better?
I wrote a specialized service dealing with Medicaid in a handful of states and it was even worse than normal. The incompetence at Medicaid is dangerous. Formularies, eligibility, reimbursements changed randomly with reimbursement changes retroactive to some random date. I have zero faith in any part of gov to get it close to right.
> i've done medical billing systems too and it is, indeed, crazy but what's make you think the gov. would be any better?
Well, first of all, because there's no medical billing in M4A. It's free at point of service, so I'd hope they do better at billing considering they don't need to bill at all.
> Decrease in administrative overhead, calculated by extrapolating the overhead in medicare to the entire US healthcare economy.
That doesn't strike me as unlikely at all. Maybe their extrapolation is aggressive, but there are people at nearly every practice who spend a large portion of their day just managing the billing of cases to insurance companies.
The amount of work that goes into billing a case to insurance companies is really insane. It tends to be a very manual process, because every insurance company is different.