want to get rid of all the paperwork??
single payer lol
when hospitals and doctors and clinics just send the bill to one person its easier. when they don't have to chase down payments and insurance companies, it makes it easier.
there is NO reason for single payer not to be brought in.
exactly. but its deeper than that.
single payer means its the exact same Software/ System/Database.
This means all programming logic works identically the same.
right now. hospitals, billing companies, providers, etc. have different systems from one another. Some big companies are using GE Centricity(IDX). Some are using SAP, Some are using Their own proprietary systems. Others are making those i named first customized so much they might as well be their own system. then you have others using other known systems such as EPIC, etc, etc, etc. Lets not talk about the small mom and pop software thats out there.
This alone is causing issues with claims denying that should not have. which promps a phone call to the insurance company, which means your insurance's balance could get accidentally dropped to the patient's responsibility (YOU). now you got a bill for something crazy, that aint even yours cause you actually have good insurance. now you have to make an addtl phone call. thats at minimum 2 calls and two different reps that were involved that never should've been. now after you speak with this customer service rep. he/she will hopefully move that balance back to the insurance. once they do that. someone will get that balance on their que. that person ( a collections rep for the provider or a 3rd party collections company) will contact the insurance and ask why they didnt pay the claim like they should have per the patient's benefits. If its cut and dry, they will say. my bad. we're adjusting the claim and it will pay out in the next 30 days or less.
That Customer service rep makes no less than $13 and hour. possibly more if they've been on the job for years. that collector makes no less than $15.00 and probably more the longer they have been on the job.
imagine how many time something like this occurs. all because the provider and the insurance company are not on the same system. so things flesh out a bit differently in the end. even though they shouldnt. it happens. you just paid 2 people for at minimum 40 mins of work. averaging pay around $14 between the two of them. thats like $5 bucks waisted on your claim. mulitply that times 1000's or a million claims nationwide that get missed that are easy fixes. now lets not get on the hard fixes.
things that are purely system issues. where the claim should go straight thru like clock work can't do to everyone having different systems, different claims clearing houses which produces slightly different stuff on the claims.
if you have Single payer(medicare for all). Every system is IDENTICAL. every claim is The exact same. all rules are the exact same. there is no getting around the rules. these errors above will not occur at all. thats a lot less reps you have to hire to do the jobs you had them doing before which was straight busy work and not actual real work. but you can still hire tons of americans to work. since everyone will have health insurance meaning millions more claims will need to be processed and their will be some actual real issues that come up. the larger the patient base. the more people you need working to support said base. but instead of the workers working crap. they have legit work.