S1 Ep143: Health care has an administrative crisis, with Anders Gilberg of MGMA

About this episode

Anders Gilberg discusses the increasing administrative burdens in health care and their impact on practices.

A new Medical Group Management Association (MGMA) report found that 95% of practices say administrative and regulatory burden has increased over the past several years. Anders Gilberg, MGMA's senior vice president of government affairs, says the data tells a clear story about why. In this episode, Gilberg joins Physicians Practice Managing Editor Keith Reynolds, to walk through the biggest drivers, from the explosive growth of Medicare Advantage and its abusive prior authorization tactics to the persistent failure of the MIPS-to-APM transition that was supposed to have happened a decade ago. He explains why practices are now staffing three or more full-time administrative employees per physician just to manage payer requirements, and why a full quarter of all U.S. health care spending goes toward administrative burden, higher than anywhere else in the free world. Music Credits: Healing breeze by Cephas - stock.adobe.com A Textbook Example by Skip Peck - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. 0:00 – 0:22 | Sponsor message Copic medical liability insurance . 0:22 – 0:44 | Cold open Gilberg previews the episode's central stat: a…

People in this episode

Host: Keith Reynolds

Guest: Anders Gilberg

Topics covered

• administrative burden
• health care spending
• Medicare Advantage
• prior authorization
• MIPS-to-APM transition

Keywords

• administrative crisis
• health care
• MGMA report
• Medicare Advantage
• prior authorization
• MIPS
• APM
• health care spending

Sponsors

Copic

Mentioned in this episode

Organizations: Medical Group Management Association, MGMA, Physicians Practice

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