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Eliminating Wasteful Health Care Spending—Is the United States Simply Spinning Its Wheels?

Eliminating Wasteful Health Care Spending—Is the United States Simply Spinning Its Wheels? Opinion EDITORIAL Eliminating Wasteful Health Care Spending— Is the United States Simply Spinning Its Wheels? Jose F. Figueroa, MD, MPH; Rishi K. Wadhera, MD, MPP, MPhil; Ashish K. Jha, MD, MPH 5,6 The United States is the most expensive health care system tient outcomes or reduced complications, and there is scant in the world, with broad consensus among experts that a con- evidence that they have reduced waste. Another key pro- siderable portion of that health care spending is wasteful. In gram, the Hospital Readmissions Reduction Program, was 2012, Berwick and Hackbarth estimated that, at minimum, touted as initially successful, but newer evidence suggests that wasteful spending accounted little if any change in hospital revisit rates resulted, and it is 7,8 for 21% of total expenditures possible that modest unintended harm occurred. Other na- Related article at in the United States. Since its tional alternative payment models, which are increasingly jama.com publication, the United States being used as a tool to encourage better integration and coor- has experimented with several new payment models, hoping dination of care between inpatient and outpatient clinicians, to spur innovations that will curb unnecessary and wasteful have had some modest effects. For instance, bundled http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Eliminating Wasteful Health Care Spending—Is the United States Simply Spinning Its Wheels?

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2019.4339
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Eliminating Wasteful Health Care Spending— Is the United States Simply Spinning Its Wheels? Jose F. Figueroa, MD, MPH; Rishi K. Wadhera, MD, MPP, MPhil; Ashish K. Jha, MD, MPH 5,6 The United States is the most expensive health care system tient outcomes or reduced complications, and there is scant in the world, with broad consensus among experts that a con- evidence that they have reduced waste. Another key pro- siderable portion of that health care spending is wasteful. In gram, the Hospital Readmissions Reduction Program, was 2012, Berwick and Hackbarth estimated that, at minimum, touted as initially successful, but newer evidence suggests that wasteful spending accounted little if any change in hospital revisit rates resulted, and it is 7,8 for 21% of total expenditures possible that modest unintended harm occurred. Other na- Related article at in the United States. Since its tional alternative payment models, which are increasingly jama.com publication, the United States being used as a tool to encourage better integration and coor- has experimented with several new payment models, hoping dination of care between inpatient and outpatient clinicians, to spur innovations that will curb unnecessary and wasteful have had some modest effects. For instance, bundled

Journal

JAMA CardiologyAmerican Medical Association

Published: Jan 7, 2020

References