Eliminating Waste in US Health Care
Bibliographic Data
| ID | 23344931 |
|---|---|
| Authors | Andrew D Hackbarth (corresponding author) |
| Year | 2012 |
| Volume | 307 |
| Issue | 14 |
| Pages | 1513 |
| Publication date | 2012-04-11 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | JAMA (JOURNAL) |
| Journal identifiers | ISSN: 0098-7484 • E-ISSN: 1538-3598 |
| Publisher | American Medical Association (AMA) (PUBLISHER) |
| DOI | 10.1001/jama.2012.362 |
| PMID | 22419800 |
| OpenAlex | W1968670396 |
| Language | EN |
| Citations received | 91 |
| References cited | 3 |
The need is urgent to bring US health care costs into a sustainable range for both public and private payers. Commonly, programs to contain costs use cuts, such as reductions in payment levels, benefit structures, and eligibility. A less harmful strategy would reduce waste, not value-added care. The opportunity is immense. In just 6 categories of waste--overtreatment, failures of care coordination, failures in execution of care processes, administrative complexity, pricing failures, and fraud and abuse--the sum of the lowest available estimates exceeds 20% of total health care expenditures. The actual total may be far greater. The savings potentially achievable from systematic, comprehensive, and cooperative pursuit of even a fractional reduction in waste are far higher than from more direct and blunter cuts in care and coverage. The potential economic dislocations, however, are severe and require mitigation through careful transition strategies.
Actuarial science · Business · Economic growth · Economics · Health care · Payment · Public economics · Value (mathematics) · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine
Countering Medicine's Culture of More
The Importance of Good Communication in Treating Patients' Pain
How Should Health Systems Science Promote Health Systems’ Sustainability
Teaching High-Value Care
Who Should Ration
Countering Medicine's Culture of More
How Medical Schools Can Promote Community Collaboration Through Health Systems Science Education
The Challenge of Understanding Health Care Costs and Charges
How Should Clinicians' Performance Be Assessed When Health Care Organizations Implement Behavioral Architecture That Generates Negative Consequences
How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
Using a Standardized Patient Model for Interprofessional Team Training in Social Work
A novel dietary improvement strategy
Environmentally sustainable development and use of artificial intelligence in health care
A New Stranger at the Bedside
Health Care Spending in the United States and Other High-Income Countries
Waste in the US Health Care System
Evidence for overuse of medical services around the world
High-performance medicine
Environmental Impacts of the U.S. Health Care System and Effects on Public Health
Impact of Covid-19 pandemic on utilisation of healthcare services
Driven Toward Care, Avoiding the End
Beliefs, credence goods and information campaigns
Financial Impact of Incentive Spirometry
Impact of Coronavirus Disease Covid-19 on the Relationship between Healthcare Expenditures and Sustainable Economic Growth
An Overview of the Performance Improvement Initiatives by the Ministry of Health in the Kingdom of Saudi Arabia
Administrative Simplification—The Holy Grail of Reducing Waste
Estimation of the Overuse of Preoperative Chest X-rays According to “Choosing Wisely”, “No Hacer”, and “Essencial” Initiatives
Artificial Intelligence and Health Care Waste—Promise or Peril
Low-Value Clinical Practices
The role of nurses and healthcare administrators in advancing value-based care models
Palliative care of geriatrics-nursing care plans
The impact of value-based care models
Legal and systemic implications of the 2023 Polish act on certain medical professions–regulation, workforce requirements, healthcare system impact
Coping with Covid
Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries
How Do Attending Physicians Prepare Residents to Deliver High-Value, Cost-Conscious Care
An inventory of policy levers to reduce low value care
How can China's medical manufacturing listed firms improve their technological innovation efficiency? An analysis based on a three-stage DEA model and corporate governance configurations
Developing a sustainability index for public health supply chains
Adoption and Initial Implementation of a National Integrated Care Programme for Diabetes
An Integrated Care Strategy for Pre-schoolers with Suspected Developmental Disorders
Sustainable health and degrowth
Sophistry in American medicine? Platonic reflections on expertise, influence and the public’s health in the democratic context
The sculpture of tick-borne disease media coverage in the United States and China
Americans Aging with Disabilities Are More Likely to Have Multiple Chronic Conditions
The labour and resource use requirements of a good life for all
The impact of changes in a physician fee schedule on medical expenditures, fees, and volume of services. Evidence from a national fee schedule reform in Australia
Carbon Emissions from Overuse of U.S. Health Care
Implementation of a Faith Community Nursing Transition of Care Program in the USA
Public health and the economy could be served by reallocating medical expenditures to social programs
Addressing the overuse-underuse paradox in healthcare
Anti-corruption, transparency and accountability in health
From Health Care Volume to Health Care Value—Success Strategies for Rural Health Care Providers
From expansion to optimization
The Road Home
Methodological Quality of Economic Evaluations in Integrated Care
Advancing patient-centered care
Exploring corruption in the South African health sector
A novel housing-based socioeconomic measure predicts hospitalisation and multiple chronic conditions in a community population
Reduction in US Health Care Spending Required to Meet the Institute of Medicine’s 2030 Target
Excess Medical Care Spending
Credence Goods, Costly Diagnosis and Subjective Evaluation
Understanding Geographic Variation in Systemic Overuse Among the Privately Insured
Is Electronic Information Exchange Associated With Lower 30-Day Readmission Charges Among Medicare Beneficiaries
The Transforming Outcomes for Patients Through Medical Home Evaluation and reDesign (Topmed) Cluster Randomized Controlled Trial
US Generalist Physicians and Groups That Focused Practice in a Single Care Setting
Cost Analysis of the STONE Randomized Trial
An Index for Measuring Overuse of Health Care Resources With Medicare Claims
Costs and Trends in Utilization of Low-value Services Among Older Adults With Commercial Insurance or Medicare Advantage
Provider Practice Competition and Adoption of Medicare’s Oncology Care Model
Analysis of Affordable Health Care
Health Care for Chronic Pain
Ambulatory Care Fragmentation and Total Health Care Costs
Can Economic Model Transparency Improve Provider Interpretation of Cost-effectiveness Analysis? Evaluating Tradeoffs Presented by the Second Panel on Cost-effectiveness in Health and Medicine
Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain
Rural-Urban Differences in Obstetric Care, 2002–2010, and Implications for the Future
A Cost Analysis of Rethink the Strip
Evaluation of the Duplication of Staging CT Scans for Localized Colon Cancer in a Medicare Population
Overuse and Systems of Care
Annual Rescreening for Alcohol Misuse
Cost Control after the ACA
Demographic and Economic Determinants of Digitalization in Healthcare
Social prescribing and the search for value in health care
Working Hard or Hardly Working
Challenges to an integrated population health research agenda
Health care, overconsumption and uneconomic growth
Understanding how psychosocial factors relate to seeking medical care among older adults using a new model of care seeking
Quantifying the financial impact of overuse in primary care in China
When more is less
Macro-level efficiency of health expenditure
Social network research in health care settings
| Unique citing works | 91 |
|---|---|
| Citations per year | 7 |
| Citation span | 2013 - 2026 (14) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 77 |