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Innovations in Care Delivery to Slow Growth of US Health Spending

Innovations in Care Delivery to Slow Growth of US Health Spending VIEWPOINT Innovations in Care Delivery to Slow Growth of US Health Spending Enabling Patients in Late Stages of Serious Arnold Milstein, MD, MPH Illness to Avoid Dying in a Hospital Stephen Shortell, PhD, MBA, MPH Medicare spends 25% of its budget on the 5% of beneficia- ries who die during a given year. Increasing evidence sug- HE UNITED STATES NEEDS TO SLOW ITS RATE OF gests that palliative care programs are improving the qual- ity of life and lowering the costs of care for patients in late growth in inflation-adjusted per capita health spend- ing by 2.5 percentage points annually without sac- stages of serious illnesses. These programs rely on interdis- ciplinary teams for patient assessment, helping patients bet- Trificing health or slowing biomedical technology ad- vances. The consequences of failure may include shifting ter anticipate their experience of both aggressive and con- servative care and respecting patient and family goals of care of funding away from resources for elementary and high school education, infrastructure (such as highways), and ba- across a range of nonhospital settings such as home, hos- pice, and nursing facility. sic science research, as well as weakening the global com- petitiveness and financial health of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Innovations in Care Delivery to Slow Growth of US Health Spending

JAMA , Volume 308 (14) – Oct 10, 2012

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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.2012.12659
pmid
23047357
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT Innovations in Care Delivery to Slow Growth of US Health Spending Enabling Patients in Late Stages of Serious Arnold Milstein, MD, MPH Illness to Avoid Dying in a Hospital Stephen Shortell, PhD, MBA, MPH Medicare spends 25% of its budget on the 5% of beneficia- ries who die during a given year. Increasing evidence sug- HE UNITED STATES NEEDS TO SLOW ITS RATE OF gests that palliative care programs are improving the qual- ity of life and lowering the costs of care for patients in late growth in inflation-adjusted per capita health spend- ing by 2.5 percentage points annually without sac- stages of serious illnesses. These programs rely on interdis- ciplinary teams for patient assessment, helping patients bet- Trificing health or slowing biomedical technology ad- vances. The consequences of failure may include shifting ter anticipate their experience of both aggressive and con- servative care and respecting patient and family goals of care of funding away from resources for elementary and high school education, infrastructure (such as highways), and ba- across a range of nonhospital settings such as home, hos- pice, and nursing facility. sic science research, as well as weakening the global com- petitiveness and financial health of

Journal

JAMAAmerican Medical Association

Published: Oct 10, 2012

References