On the one hand, this graph maybe points to a real problem. On the other, administration is real, and (a) is a complement to underlying service delivery, (b) is often done by service providers. Is it bad if we hire a sysadmin to allow coders to concentrate on coding? https://twitter.com/VegasOdd/status/1256059093535592453 …
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4/ > NO. Thank you for contributing and adding your valuable arguments. Especially enjoyed the citations.https://twitter.com/Tomblvd/status/1256550313370288128?s=19 …
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5/ Guize, Arguing "but there is BS paperwork caused by external thing X" is not a REFUTATION of my point, it is a footnote. I understand that Medicaid sucks, that FDR price controls created employer insurance plans, blah blah blah. And GIVEN THAT, administrators offload Dr.s.
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Do you think medicine's unique pricing structure (and the associated massive admin costs) are inherent to doc effectiveness, an artifact of mandatory employer-provided "insurance" being the source of most payments, or something else?
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This is my argument
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NO. "On the one hand, this graph points to a real problem." FIFY. Administrators do not increase doctor effectiveness. Nor do they increase hospital effectiveness.
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Trust me, the admin bloat in hospitals is not for freeing up docs and nurses to do better jobs. They didn’t hire more admin to pay others to do paperwork, compliance etc and take that burden OFF carers so they can concentrate on patients. It’s a self-feeding loop of busywork.
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I don't trust anyone unless they present an argument or data.
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