TABLE 3-6Potential Savings to Purchasers from Use of Mid-level Providers for Office Visits Based on VMMC Experience

Total “necessary” U.S. outpatient visitsa1.05 billion
Medicare Health InsuranceCommercial Health Insurance
Number of ambulatory visits per yeara242 million620 million
Potential number of visits with mid-level practitionersb121 million310 million
Savings to purchasers per visit$10$23
Potential total U.S. savings to purchasers in dollars$1.2 billion$7.1 billion

For patients age 15 and older.


For uncomplicated conditions.

From: 3, Inefficiently Delivered Services

Cover of The Healthcare Imperative
The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary.
Institute of Medicine (US) Roundtable on Evidence-Based Medicine; Yong PL, Saunders RS, Olsen LA, editors.
Washington (DC): National Academies Press (US); 2010.
Copyright © 2010, National Academy of Sciences.

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