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August 1, 2011 | Journal Article
Researchers surveyed physicians and administrators in the province of Ontario, Canada, about time spent interacting with payers and compared the results with a national companion survey in the United States. If U.S. physicians had administrative costs similar to those of Ontario physicians, the total savings would be approximately $27.6 billion per year.
March 18, 2010 | Journal Article
This article examines the accuracy of tools to identify lower-cost physicians. Many proposed health reforms rely on the identification of physicians who provide lower-cost services for a given condition. However, no rigorous evaluation has assessed whether the tools used to identify lower-cost physicians are accurate.
February 13, 2013 | Issue Brief
Medicare's per capita payments to physicians for patient services has been exceeding federal budget guidelines, but Congress has postponed a reduction in physician fees in recent years. Lawmakers are looking for a permanent solution to the problem.
December 15, 2011 | Issue Brief
The Independent Payment Advisory Board (IPAB), a new executive-branch entity created by the Affordable Care Act, will have significant authority to curb rising Medicare spending if per beneficiary growth in that spending exceeds target growth rates.
July 1, 2011 | Issue Brief
U.S. health care costs continue to rise, with per capita costs already the highest in the world. Higher prices, worse efficiency and the cost of insurance administration are the leading reasons U.S. costs are higher.
March 1, 2011 | Issue Brief
“Unreasonable” insurance rate increases will be regulated under the Affordable Care Act, but some states lack the authority to block rate increases from going into effect.
May 18, 2010 | Journal Article
When a patient sees multiple doctors, health plan and government analysts use different rules to assign primary responsibility to a single physician. This article presents a study that examined how those rules affect a physician's cost profile (e.g., high cost or low cost).