Three poignant cases where over-supply (of docs) leads to over-testing or over-treating
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Increasingly, the cost of care is unnecessarily dear, rising exponentially while the return on investment is falling precipitously. What can be done about improving the value of health care?
The number of U.S. total knee arthroplasty (TKA) procedures, an effective, established operation, is huge and it is more cost-effective to do TKA in patients with end-stage osteoarthritis than to treat the patient medically, regardless of the hospital TKA volume. Nevertheless, the larger volume hospitals enjoy the better C:E in part because they have lower cost ratios. There were approximately 500,000 TKAs in 2006 For which the direct medical costs were $11 billion
It is unclear in the U.S.