• Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

Office Fees Account for High Health Costs in U.S.


Comparing the U.S.'s health costs to five other countries reveals that fees are the reason for higher spending.

One of the main reasons why the United States’ health spending is so much higher than other countries is because the nation’s physician fees are so much higher, according to a study published in Health Affairs.

The study, “Higher Fees Paid To U.S. Physicians Drive Higher Spending For Physician Services Compared To Other Countries,” came to the conclusion that “higher fees, rather than factors such as higher practice costs, volume of services, or tuition expenses, were the main drivers of higher U.S. spending.”

The researchers compared payments for primary care visits and hip replacements in the United States, Australia, Canada, France, Germany and the United Kingdom. They also looked at expenses and medical education costs.

Public payers in the U.S. paid 27% higher fees and private payers paid 70% more for primary care visits compared to other countries. When it came to orthopedics, the difference was even more pronounced. In the U.S. patients paid 70% more for public and 120% more for private than their counterparts in other countries.

However, the study did show that despite doing the same work, physicians in the U.S. earned more than those in the other countries looked at. Primary care physicians earned $186,582, almost double what those in France make, and orthopedic surgeons made $442,450, which is more than $100,000 what runner-up physicians in the U.K. make.

Related Videos
Victor J. Dzau, MD, gives expert advice
Victor J. Dzau, MD, gives expert advice