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Annual Costs for U.S. Physician Practices in Interactions with Health Plans Reaches $31 Billion

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The total annual cost for U.S. physician practices interacting with health plans is estimated at $31 billion. On average, physicians spend $15,767 annually on interactions, while clerical staff costs $25,040, nursing staff $21,796, lawyers/accountants $2,149, and senior administrative staff $3,522. This results in a total annual cost of $68,274 per physician, based on data from approximately 453,696 office-based physicians. This data highlights the financial burden of administrative tasks related to health insurance interactions.

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Annual Costs for U.S. Physician Practices in Interactions with Health Plans Reaches $31 Billion

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  1. Total Annual Cost to U.S. Physician Practices for Interacting with Health Plans Is Estimated at $31 Billion1 Mean Dollar Value of Hours Spent per Physician per Year on All Interactions with Health Plans MDs $15,767 Clerical staff $25,040 Nursing staff $21,796 Lawyer/Accountant $2,149 Senior administrative $3,522 Total Annual per Practice Cost per Physician: $68,274 1 Based on an estimated 453,696 office-based physicians. Source: L. P. Casalino, S. Nicholson, D. N. Gans et al., “What Does It Cost Physician Practices to Interact with Health Insurance Plans?” Health Affairs Web Exclusive, May 14, 2009, w533–w543.

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