The High Cost of Administrative Burden in Healthcare
- Tristan

- Mar 7
- 2 min read

Walk into almost any clinic, and you’ll see it: a provider hunched over a computer long after patients have gone home. For many doctors, dentists, and nurses, the day doesn’t end when the last patient leaves — it ends after hours of paperwork, charting, and administrative tasks.
This isn’t just frustrating. It’s one of the biggest hidden costs in healthcare.
How Much Time Is Really Lost?
Studies show that for every one hour of direct patient care, U.S. physicians spend nearly two additional hours on electronic health record (EHR) and desk work. And that doesn’t even include the time spent catching up after hours — what many providers call “pajama time.”
Administrative burden isn’t just about filling out forms. It includes:
Insurance authorizations and billing documentation.
Detailed compliance and regulatory reporting.
Manual data entry across fragmented systems.
Endless messages, faxes, and follow-ups.
It’s no surprise that the American Medical Association lists administrative burden as one of the leading contributors to physician burnout.
Why It Matters for Patients
When providers spend more time documenting care than delivering it, patients feel the effects:
Shorter visits. Appointments feel rushed when providers know they’ll be spending hours afterward catching up on notes.
Reduced access. Administrative overload limits the number of patients providers can reasonably see.
Fragmented communication. With so much energy diverted to paperwork, providers have less bandwidth to connect with patients.
Patients may not see the hours behind the scenes, but they feel the impact — in wait times, rushed conversations, and delayed responses.
The Systemic Costs
Administrative waste is not a small line item. Analysts estimate that the U.S. healthcare system spends more than $250 billion annually on unnecessary administrative complexity.
That’s money — and time — that could otherwise go toward frontline care, staffing, or improved patient safety systems.
Rethinking the Workload
The challenge isn’t that documentation or compliance is unnecessary — it’s that the way we handle it is inefficient and outdated. Solutions include:
Streamlined EHR workflows that reduce redundant clicks and automate low-value tasks.
Smarter data integration so labs, imaging, and notes live in one place.
Digital assistants and AI tools that help draft, summarize, and flag what matters most.
Policy reforms that reduce redundant reporting and simplify billing requirements.
The Bottom Line
Administrative tasks will always be part of healthcare, but they shouldn’t dominate it. By redesigning workflows, reducing duplication, and modernizing systems, providers can spend more time on what matters most — caring for patients.
Reference
Sinsky, C., et al. (2016). Allocation of physician time in ambulatory practice: A time and motion study in 4 specialties. Annals of Internal Medicine, 165(11), 753–760.
American Medical Association (AMA). AMA Priorities: Administrative Burden.
https://www.ama-assn.org/practice-management/digital/ama-priorities-reducing-administrative-burdens
Shrank, W.H., Rogstad, T.L., Parekh, N. (2019). Waste in the US Health Care System: Estimated Costs and Potential for Savings. JAMA, 322(15), 1501–1509.
Medical Group Management Association (MGMA). Top challenges for medical practices in 2023.
https://www.mgma.com/resources/human-resources/top-challenges-for-medical-practices-in-2023



