TABLE 3.
Estimated policy impact on total BIR costs
| Policy scenario | Contractual complexity as a fraction of baseline, ratio | Compliance costs as a fraction of baseline, ratio | Number of contracts per provider, mean [interquartile range] | Fraction of contracts negotiated annually, mean [interquartile range] | National BIR Costs, billion (change, %) |
|---|---|---|---|---|---|
| Current state | 1 | 1 |
1000 [100, 10 000] |
0.25 | $111.4 (0) |
| Single payer (optimistic) | 1 | 1 | 1, [1,1] | 1 | $52.5 (–53) |
|
Single payer (intermediate) |
1.1 | 1.1 | 1, [1,1] | 1 | $63.5 (–43) |
| Single payer (pessimistic) | 1.2 | 1.2 | 1, [1,1] | 1 | $75.6 (–33) |
|
Multi‐payer Contract complexity |
0.5 | 1 |
1000 [100, 10 000] |
0.25 | $55.7 (−50) |
|
Multi‐payer Architectural complexity |
1.0 | 1 | 500 [50, 5000] | 0.25 | $81.7 (–27) |
| Multi‐payer contract complexity and architectural complexity | 0.5 | 1 | 500 [50, 5000] | 0.25 | $40.9 (–63) |