BTW, I mentioned something anyone who has dealt with the office side of a medical practice knows, but I glossed over it. The 2 government programs, medicaid and medicare are without question the WORST about rejecting claims.
The docs in my wife's office have 5-6 employees each. 1 is a medical assistant, and the rest do paperwork except some techs and a PA. Call it 4 paper pushers per doc. The private insurance is pretty seamless. Presbyterian pays electronically, right away. Very little work. I bet 3/4 of the billing people hours are spent on medicaid and medicare—and the docs only take medicaid on a limited basis!
So going to "single payer" where the payer is the government sounds like it should save loads of cost, but it won't, since the only really inefficient "insurance" to deal with is... THE GOVERNMENT.
They don't just reject for medical reasons (though both already ration care in that way). They are far more likely to reject for nonsense reasons than real insurance (those do that as well, just not nearly as much). A given form must have a certain box ticked, even though the tick in no way changes the diagnosis, or anything. ANY person reading it would know the box should have been ticked but wasn't by mistake. Do they process? Hell no, they reject it. Do they tell you WHY? HELL NO! Your employees have to do the whole thing over, never having a clue what was wrong. If that was done on the private forms, the office might get a call from the insurance people and they fix it over the phone.
This is what you are in favor of, like it or not.
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