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The cost of emergency care required by EMTALA is not covered directly by the federal government, so it has been characterized as an unfunded mandate. [6] In 2009, uncompensated care represents 55% of emergency room care, and 6% of total hospital costs. [7]
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.
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Costs per stay increased 47% since 1997, averaging $10,000 in 2011 (equivalent to $13,544 in 2023 [31]). [132] As of 2008, public spending accounts for between 45% and 56% of US healthcare spending. [133] Surgical, injury, and maternal and neonatal health hospital visit costs increased by more than 2% each year from 2003–2011.
In the U.S., the average wait time for a first-time appointment is 24 days (≈3 times faster than in Canada); wait times for Emergency Room (ER) services averaged 24 minutes (more than 4x faster than in Canada); wait times for specialists averaged between 3–6.4 weeks (over 6x faster than in Canada). [57]
A Bay Area 4-year-old was treated for a common joint injury twice in one day. But the bills for the two hospital visits were thousands of dollars apart.
A study released in October, 2010 had a similar cost estimate, of $168 billion, nearly 17% of U.S. medical costs. This is an estimated $2,400 per obese person. The study was performed by researchers at Cornell and Emory universities. [42] However, in contrast to yearly costs, lifetime costs can be highest among healthy people, who live longer.
Emergency Dept. Entrance. The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm, initially developed in 1998 by emergency physicians Richard Wurez and David Eitel. [1]
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