An Overview of Medical Billing Expenditure in 2018

P3 Healthcare Solutions
3 min readDec 19, 2019

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Medical billing outsourcing, Medical Billing Expenditure, Medical Billing Services

Medical billing outsourcing is been doing great in recent years. Healthcare practices face many challenges regarding dealing with patients, updating medical knowledge and procedures, and on top of that, compiling claims.

When it comes to managing medical codes and multiple payers at once, it becomes difficult and often dreadful for clinicians to handle the billing process.

Therefore, the medical billing services provider is an essential part of the modern healthcare industry that bridges the gap between insurance companies and healthcare organizations.

Expenses by Medical Billing Outsourcing

Medical billing outsourcing, Medical Billing Expenditure, medical billing services provider, medical billing and coding

2018 was a remarkable year. According to the report by The Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS), the total healthcare expenditure was around 4.6%. Moreover, it stated that various healthcare sectors as healthcare insurance, Medicare, and Medicaid showed immense potential in 2018.

Expenditure for Private Health Insurances

Around thirty-four percent of the total healthcare expenditure was spent on the private health insurance sector.

Talking in stats, the spending went to 5.8%, which was 4.9% in 2017. The growth in this field credits to the high net cost.

Medicare Spending

All thanks to medical billing outsourcing companies, in 2018, a total of 21% of healthcare expenditures were invested, and the growth ratio was 6.4% as compared to the 2017 performance year.

Medicaid Spending

This sector concluded with a total of 21% that makes $597.4 billion from the healthcare budget.

All in all, in 2018, the government increased its budget for healthcare to 5.6% (according to CMS report), which was 2.8% in the previous year. A major portion went to Medicare and Medicaid expenditures.

Of course, a greater budget led to improved performances in healthcare, and stakeholders invested the budget as per the following percentages:

· Governmental & Households: 28%

· Private businesses: 20%

· State & Provincial Government: 17%

· Private Organizations: 7%

What to Expect in the Upcoming Years for Medical Billing?

Experts say that the revenue for medical billing and coding outsourcing will reach $19.7 billion by 2026. It means that the market is expected to grow by 11.8% every year.

The major consumers of the medical billing industry were hospitals in 2018 and in the coming years, this trend is only going to increase.

North America ruled over the global billing market, complying with all the EHRs implementation and interoperability efforts.

Medical Billing services are advanced now more than ever. The complications and strict reporting rules led to secure data transmission, plus it also paved the way for successful healthcare delivery.

Since, 2019 is about to end, we can expect that the spending ratio to revenue ratio would be better than before, and the healthcare industry would altogether progress.

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P3 Healthcare Solutions
P3 Healthcare Solutions

Written by P3 Healthcare Solutions

Physicians and clinicians get in touch with P3Care for reporting MIPS 2022, Medical Billing Services, Credentialing, and Enrollment. visit now: p3care.com

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