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An old g/f has a Masters in Hospital Administration, basically a specialized MBA. She works for the University of Kentucky Medical Center. Her only job is to argue with insurance companies about billing issues.
Actually her job is to supervise the 5 story office building and the 5 story office building next to hers full of people doing the back and forth settlement of patients bills. She said the insurance companies will challenge even agreed upon pricing levels from patient to patient.
There are 4 office buildings in an office park setting doing nothing but administrative, non-medical work. This is in addition to the people working in the hospital itself doing other non-medical administrative work like her supervisors.
Spend 2 minutes talking with her and you'll know why our health care costs are so bloated … And it's not because the actual cost of patient treatment is high.
Add in non-medical employees, palatial hospitals with fountains and their own transportation systems, renting entire office complexes, etc. Then you have the insurance side of things with well paid executives, share holders and countless employees to argue and deny payments with hospitals, doctors and their own customers.
Now add the government into the mix with their fondness for bureaucratic expansion and prices will go even higher.
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