Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Eliminating Waste in US Health Care

Eliminating Waste in US Health Care SPECIAL COMMUNICATION Scan for Author Video Interview ONLINE FIRST Donald M. Berwick, MD, MPP The need is urgent to bring US health care costs into a sustainable range for Andrew D. Hackbarth, MPhil both public and private payers. Commonly, programs to contain costs use O MATTER HOW POLARIZED cuts, such as reductions in payment levels, benefit structures, and eligibil- politics in the United States ity. A less harmful strategy would reduce waste, not value-added care. The have become, nearly every- opportunity is immense. In just 6 categories of waste—overtreatment, fail- None agrees that health care ures of care coordination, failures in execution of care processes, adminis- costs are unsustainable. At almost 18% trative complexity, pricing failures, and fraud and abuse—the sum of the low- of the gross domestic product (GDP) 1,2 in 2011, headed for 20% by 2020, the est available estimates exceeds 20% of total health care expenditures. The nation’s increasing health care expen- actual total may be far greater. The savings potentially achievable from sys- ditures reduce the resources available tematic, comprehensive, and cooperative pursuit of even a fractional reduc- for other worthy government pro- tion in waste are far higher than from more direct and blunter http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Eliminating Waste in US Health Care

JAMA , Volume 307 (14) – Apr 11, 2012

Loading next page...
 
/lp/american-medical-association/eliminating-waste-in-us-health-care-3UMwZqCPQn
Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.362
pmid
22419800
Publisher site
See Article on Publisher Site

Abstract

SPECIAL COMMUNICATION Scan for Author Video Interview ONLINE FIRST Donald M. Berwick, MD, MPP The need is urgent to bring US health care costs into a sustainable range for Andrew D. Hackbarth, MPhil both public and private payers. Commonly, programs to contain costs use O MATTER HOW POLARIZED cuts, such as reductions in payment levels, benefit structures, and eligibil- politics in the United States ity. A less harmful strategy would reduce waste, not value-added care. The have become, nearly every- opportunity is immense. In just 6 categories of waste—overtreatment, fail- None agrees that health care ures of care coordination, failures in execution of care processes, adminis- costs are unsustainable. At almost 18% trative complexity, pricing failures, and fraud and abuse—the sum of the low- of the gross domestic product (GDP) 1,2 in 2011, headed for 20% by 2020, the est available estimates exceeds 20% of total health care expenditures. The nation’s increasing health care expen- actual total may be far greater. The savings potentially achievable from sys- ditures reduce the resources available tematic, comprehensive, and cooperative pursuit of even a fractional reduc- for other worthy government pro- tion in waste are far higher than from more direct and blunter

Journal

JAMAAmerican Medical Association

Published: Apr 11, 2012

References