To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio.
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$600-$850 billion/yr in the U.S. is spent on low value or inappropriate services
One of the main goals in health care reform lies in reducing waste.
"Up to 30% of Medicare spending is wasted on needless care." "After adjusting for differences in health, income, medical price and other factors, the Dartmouth researchers’ overall conclusion is that the more costly areas and institutions provide a lot more tests, services and intensive hospital-based care than the lower cost centers. Yet their patients fare no better and often fare worse because they suffer from the over-treatment."