Costs and benefits of physician practices' interactions with health plans

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.In this project, the researchers will examine the administrative burden associated with physician practice interactions with health plans using three approaches: (1) developing a national estimate of the administrative costs for U.S. private physician practices generated by their interactions with multiple health plans/payers; they will simultaneously develop estimates of the costs for analogous interactions in Canadian physician practices and for Kaiser Permanente practicing physicians; (2) developing estimates of the benefits of administrative complexity; and (3) surveying U.S. health plan and physician practice leaders to determine if there is common ground on eliminating or simplifying administrative complexity. The objective of this project is to provide the best estimate to date of the costs to physicians of administrative complexity in their interaction with payers and to give a qualitative sense of the extent to which physicians' costs associated with administrative complexity are balanced with benefits.

Grant Details

Amount Awarded $50,080.00

Awarded on: 9/21/2005

Time frame: 10/1/2005 - 9/30/2007

Grant Number: 53893


University of Chicago, The Pritzker School of Medicine

924 East 57th Street, Suite 104
Chicago, 60637-1455


Lawrence Peter Casalino
Project Director