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The current reimbursement formula is known as "ASP+6" since it reimburses physicians at 106% of the ASP of drugs. Pharmaceutical company discounts and rebates are included in the calculation of ASP, and tend to reduce it. In addition, Medicare pays 80% of ASP+6, which is the equivalent of 84.8% of the actual average cost of the drug.
A 2007 study analyzing Medicare beneficiaries' healthcare visits showed that a median of two primary care physicians and five specialists provide care for a single patient. [164] The authors doubt that pay-for-performance systems can accurately attribute responsibility for the outcome of care for such patients.
This could be a particular issue for the elderly, who often have multiple conditions and receive multiple medications. [2] A study of patients registered with 201 UK general practices showed that patients aged 65–69 years received repeat prescriptions for an average of 5.9 medications in 2005.
Hospital visits have gotten more expensive over the past decade, with average stays topping $10,000 per patient according to recent research studies. And while insurance can help cover the costs ...
Given the $15,197 average cost of a stay in Mass. and average hourly private sector wage of $33.92, ... questions the study’s methodology because few patients pay cash for a hospital visit. Most ...
For scale, cutting administrative costs to peer country levels would represent roughly one-third to half the gap. A 2009 study from Price Waterhouse Coopers estimated $210 billion in savings from unnecessary billing and administrative costs, a figure that would be considerably higher in 2015 dollars. [50] Cost variation across hospital regions.