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Good read & agree w/ premise and problem, but solution is more than just downstream administrative costs. Must focus on prevention to 
consumption. Rationing of Health Care in the United States: An Inevitable Consequence of Increasing Health Care Costshttps://jamanetwork.com/journals/jama/fullarticle/2725150 …
I laid out the argument at 2018 @AmerMedicalAssn annual meeting (see on YouTube), but 10% of health is healthcare, 90% is “upstream” eg environment & behavior modification. Best way to healthcare (ie “sick care”) costs is to turn off upstream spigot w wellness. @PublicHealth
This will also help address provider burnout, because fewer sick and repeat patients with preventable/ avoidable visits means more time to spend with the ones who really need it, and better outcomes and patient (and provider) satisfaction.
Dr. Bauchner rightly points out the benefits of going after administrative burdens, but approach must be AND not OR, and we must better balance our focus and resources between the 10% downstream and the 90% upstream.
Many healthcare organizations, and some really innovative companies/ employers are seeing the ROI of addressing the upstream “social determinants” (ie where we live learn work and play) as well as providing better, more convenient care, w less burdens.
The U.S. spends more than double per capita annually on health care with no better outcomes than most other OECD countries. This is not acceptable. Corruption in medical billing is rampant. Time for change.
Interestingly enough for that “US spends more than any other country on healthcare” stat- if you add in social and community supports, other countries spend as much as US - but get better outcomes because they are prioritizing and funding prevention as well as treatment.
Not to complain sir, but I am not aware of a documented instance in which preventative care reduced healthcare utilization. Is there one you know about?
Well, thanks to rationing.... I will soon be forced to quit working as the operation I need for my chronically subluxating/dislocating ankles was rationed out. This will prevent my walking or even driving. Great job bucko...
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