Looking at History to Reduce Current Healthcare Costs

25 Pages Posted: 17 Apr 2016

See all articles by James Byrd

James Byrd

University of Alabama at Birmingham

Douglas Smith

University of Montevallo

Marilyn M. Helms

Dalton State College - Division of Business Administration

Date Written: December 12, 2015

Abstract

When the history of healthcare and insurance in the US is examined, it is clear the patient has become more and more removed from the payment process. Insurers including Medicare moved to pay providers more quickly and eliminated pre-payment by the insured customer beyond a typical small co-payment. The patient is not clear regarding costs and lacks incentives to control spending. The payment process has deviated so far from the traditional accounting three-way payment match that fraud and other issues have surfaced in billing and payment error. This article presents suggestions from accounting’s three-way match process used in purchasing to carefully outline problems and challenges in US healthcare. Discussion and ways to adapt the popular accounting framework for healthcare are presented within the historical context of the changing healthcare reimbursement and payment process. Areas for future research are also included.

Keywords: accounting, healthcare, three-way match, purchasing, patient involvement, fraud, cost control, medical

JEL Classification: M38, I13, I15, I18

Suggested Citation

Byrd, James and Smith, Douglas and Helms, Marilyn M., Looking at History to Reduce Current Healthcare Costs (December 12, 2015). Journal of Accounting, Ethics and Public Policy, Vol. 16, No. 3, 2015. Available at SSRN: https://ssrn.com/abstract=2763727

James Byrd (Contact Author)

University of Alabama at Birmingham ( email )

Douglas Smith

University of Montevallo ( email )

Montevallo, AL 35115
United States

HOME PAGE: http://www.montevallo.edu

Marilyn M. Helms

Dalton State College - Division of Business Administration ( email )

Dalton, GA 30720
United States
706-272-2600 (Phone)
706-272-4525 (Fax)

Register to save articles to
your library

Register

Paper statistics

Downloads
98
Abstract Views
860
rank
267,110
PlumX Metrics