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US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers.

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      325410 Pharmaceutical and medicine manufacturing
      414510 Pharmaceuticals and pharmacy supplies merchant wholesalers
      424210 Drugs and Druggists' Sundries Merchant Wholesalers
      621498 All Other Outpatient Care Centers
      621111 Offices of Physicians (except Mental Health Specialists)
      621110 Offices of physicians
      525190 Other Insurance Funds
      524298 All Other Insurance Related Activities
      524292 Third Party Administration of Insurance and Pension Funds
      524111 Direct individual life, health and medical insurance carriers
      524112 Direct group life, health and medical insurance carriers
      561110 Office Administrative Services
      541910 Marketing Research and Public Opinion Polling
    • Abstract:
      Physician practices, especially the small practices with just one or two physicians that are common in the United States, incur substantial costs in time and labor interacting with multiple insurance plans about claims, coverage, and billing for patient care and prescription drugs. We 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. We estimated physician practices in Ontario spent $22,205 per physician per year interacting with Canada's single-payer agency-just 27 percent of the $82,975 per physician per year spent in the United States. US nursing staff, including medical assistants, spent 20.6 hours per physician per week interacting with health plans-nearly ten times that of their Ontario counterparts. If US physicians had administrative costs similar to those of Ontario physicians, the total savings would be approximately $27.6 billion per year. The results support the opinion shared by many US health care leaders interviewed for this study that interactions between physician practices and health plans could be performed much more efficiently. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Assistant professor, Department of Medicine, University of Toronto.
      2Associate professor, Cornell University.
      3Associate Professor, Weill Cornell Medical College.
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2010.0893
    • Accession Number:
      67070748
  • Citations
    • ABNT:
      MORRA, D. et al. US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs, [s. l.], v. 30, n. 8, p. 1443–1450, 2011. DOI 10.1377/hlthaff.2010.0893. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=67070748&custid=s8280428. Acesso em: 7 ago. 2020.
    • AMA:
      MORRA D, NICHOLSON S, LEVINSON W, GANS DN, HAMMONS T, CASALINO LP. US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs. 2011;30(8):1443-1450. doi:10.1377/hlthaff.2010.0893
    • APA:
      MORRA, D., NICHOLSON, S., LEVINSON, W., GANS, D. N., HAMMONS, T., & CASALINO, L. P. (2011). US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs, 30(8), 1443–1450. https://doi.org/10.1377/hlthaff.2010.0893
    • Chicago/Turabian: Author-Date:
      MORRA, DANTE, SEAN NICHOLSON, WENDY LEVINSON, DAVID N. GANS, TERRY HAMMONS, and LAWRENCE P. CASALINO. 2011. “US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers.” Health Affairs 30 (8): 1443–50. doi:10.1377/hlthaff.2010.0893.
    • Harvard:
      MORRA, D. et al. (2011) ‘US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers’, Health Affairs, 30(8), pp. 1443–1450. doi: 10.1377/hlthaff.2010.0893.
    • Harvard: Australian:
      MORRA, D, NICHOLSON, S, LEVINSON, W, GANS, DN, HAMMONS, T & CASALINO, LP 2011, ‘US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers’, Health Affairs, vol. 30, no. 8, pp. 1443–1450, viewed 7 August 2020, .
    • MLA:
      MORRA, DANTE, et al. “US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers.” Health Affairs, vol. 30, no. 8, Aug. 2011, pp. 1443–1450. EBSCOhost, doi:10.1377/hlthaff.2010.0893.
    • Chicago/Turabian: Humanities:
      MORRA, DANTE, SEAN NICHOLSON, WENDY LEVINSON, DAVID N. GANS, TERRY HAMMONS, and LAWRENCE P. CASALINO. “US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers.” Health Affairs 30, no. 8 (August 2011): 1443–50. doi:10.1377/hlthaff.2010.0893.
    • Vancouver/ICMJE:
      MORRA D, NICHOLSON S, LEVINSON W, GANS DN, HAMMONS T, CASALINO LP. US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs [Internet]. 2011 Aug [cited 2020 Aug 7];30(8):1443–50. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=67070748&custid=s8280428