Waste in the US Health Care System

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Abstract

The United States spends more on health care than any other country, with costs approaching 18% of the gross domestic product (GDP). Prior studies estimated that approximately 30% of health care spending may be considered waste. Despite efforts to reduce overtreatment, improve care, and address overpayment, it is likely that substantial waste in US health care spending remains.

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Most cited references 25

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Measuring low-value care in Medicare.

Aaron Schwartz, Bruce Landon, Adam G Elshaug … (2014)

Despite the importance of identifying and reducing wasteful health care use, few direct measures of overuse have been developed. Direct measures are appealing because they identify specific services to limit and can characterize low-value care even among the most efficient providers.

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Choosing wisely: prevalence and correlates of low-value health care services in the United States.

Carrie H Colla, Nancy E. Morden, Thomas D. Sequist … (2015)

Specialty societies in the United States identified low-value tests and procedures that contribute to waste and poor health care quality via implementation of the American Board of Internal Medicine Foundation's Choosing Wisely initiative.

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US Physician Practices Spend More Than $15.4 Billion Annually To Report Quality Measures

Lawrence P Casalino, David Gans, Rachel Weber … (2016)

Each year US physician practices in four common specialties spend, on average, 785 hours per physician and more than $15.4 billion dealing with the reporting of quality measures. While much is to be gained from quality measurement, the current system is unnecessarily costly, and greater effort is needed to standardize measures and make them easier to report.

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Author and article information

Journal

Title: JAMA

Abbreviated Title: JAMA

Publisher: American Medical Association (AMA)

ISSN (Print): 0098-7484

Publication date (Electronic): October 07 2019

Affiliations

[1 ]Humana Inc, Louisville, Kentucky

[2 ]Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Article

DOI: 10.1001/jama.2019.13978

PubMed ID: 31589283

SO-VID: 160b301d-40d1-4220-8162-745d3578d307

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Waste in the US Health Care System : Estimated Costs and Potential for Savings

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Abstract

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Chinese Journal of School Health

Most cited references 25

Measuring low-value care in Medicare.

Choosing wisely: prevalence and correlates of low-value health care services in the United States.

US Physician Practices Spend More Than $15.4 Billion Annually To Report Quality Measures

Author and article information

Journal

Affiliations

Article

History

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