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View Diary: The problem with health care: What it costs versus what insurance companies have to pay (62 comments)

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  •  And I will ask, as I did earlier today, what are (5+ / 0-)

    these administrators of?  

    Doctors' offices have had to hire more admins to process insurance claims, Drs' corporate practices have hired more administrators, as have for profit hospitals.

    I can't quite make out the fine print at the bottom of graph, other than it is from the Bureau of Labor Statistics.

    Does anyone know why there was such a huge jump in the early nineties?  I do recall a large increase of Humana type hospital takeovers of non-profits during the late 80s.

    "I cannot live without books" -- Thomas Jefferson, 1815

    by Susan Grigsby on Tue May 29, 2012 at 05:35:45 PM PDT

    [ Parent ]

    •  Um, never mind, I found a link. (1+ / 0-)
      Recommended by:
      historys mysteries

      And more charts:
      Mass-Care

      "I cannot live without books" -- Thomas Jefferson, 1815

      by Susan Grigsby on Tue May 29, 2012 at 05:49:10 PM PDT

      [ Parent ]

    •  I'll take a stab at that from hosp perspective (1+ / 0-)
      Recommended by:
      Susan from 29

      HMO movement -- needed additional staff to interact with HMO companies. Negotiate rates, track per capita payments, coordinate care.

      IT staff -- hospitals became more automated, need staff to support IT dept.

      Conversion of cost based per diem reimbursement to price fixed DRG system -- more folks in Info mgnt dept to code cases.

      limited english proficiency rules added to interpretor staff

      patient centered care movement added staff to interact with patients

      Other stuff that eludes me.

    •  The timing of the ramp up in administrative costs (0+ / 0-)

      coincides with the failure of the Clinton health care initiative.

      Courage is contagious. - Daniel Ellsberg

      by semiot on Wed May 30, 2012 at 05:08:50 AM PDT

      [ Parent ]

      •  And the widespread adoption of computerized (2+ / 0-)
        Recommended by:
        david78209, George Hier

        cost analysis that allowed MBA types to look only at the numbers and then work to change the numbers in ways having nothing to do with medicine or other health care. In parallel with the impact of computerization on Wall Street; fractions and details could be manipulated synthetically in ways probably not concertedly possible till that time.

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