More than a third of U.S. healthcare costs go to bureaucracy

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More than a third of U.S. healthcare costs go to bureaucracy
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(Reuters Health) - U.S. insurers and providers spent more than $800 billion in 2...

- U.S. insurers and providers spent more than $800 billion in 2017 on administration, or nearly $2,500 per person - more than four times the per-capita administrative costs in Canada’s single-payer system, a new study finds.

Cutting U.S. administrative costs to the $550 per capita level in Canada could save more than $600 billion, the researchers say. They also found there had been a 3.2% increase in U.S. administrative costs since 1999, most of which was ascribed to the expansion of Medicare and Medicaid managed-care plans. Overhead of private Medicare Advantage plans, which now cover about a third of Medicare enrollees, is six-fold higher than traditional Medicare , they report. That 2% is comparable to the overhead in the Canadian system.

The new study is “the first analysis of administrative costs in the U.S. and Canada in almost 20 years,” said Dr. Albert Wu, an internist and professor of health policy and management at the Johns Hopkins School of Public Health in Baltimore. “It’s an important paper.”

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