Category: Roman Pourmand

Digital Healthcare Enterprise

Convergence of People, Business and Things

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As discussed in a previous post, physicians, hospitals and other health service providers spent $138 billion just in 2012 on billing and insurance-related (BIR) administrative costs.  With the most complete data available on physician practices – annual BIR costs were estimated “at $82,975 per physician in the U.S.” for 2012. How can healthcare providers leverage a digital enterprise (business) to dramatically reduce both BIR and non-BIR administrative costs.

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Billing and Insurance-Related Administrative Costs

Cost of Pushing Paper

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According to a study published by BMC Health Services Research, billing and insurance-related (BIR) administrative “costs in the U.S. health care system totaled approximately $471($330 – $597) billion in 2012”.  This translates to every man, woman and child in America spending $1,570 on BIR activities – pushing around paperwork and paying for an unproductive bureaucracy.  More specifically, this “includes $70 ($54 – $76) billion in physician practices, $74 ($58 – $94) billion in hospitals, an estimated $94 ($47 – $141) billion in settings providing other health services and supplies”.

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