The National Academy of Medicine (formerly known as the Institute of Medicine) estimated
in 2010 that wasteful healthcare spending cumulatively totaled approximately $765
billion per year, or nearly one third of all healthcare spending.
1
Adjusting to 2016 healthcare expenditure totals,
2
unnecessary medical spending costs the average American more than $3,400 per year.
Yet, the authors argue that even this sizable figure understates the magnitude of
healthcare waste as it excludes a large array of missed upstream prevention opportunities.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Preventive MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Yong PL Saunders RS Olsen LA The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary. National Academies Press, Washington, DC2010
- Catlin A; the National Health Expenditure Accounts Team. National health care spending in 2016: spending and enrollment growth slow after initial coverage expansions.Health Aff (Millwood). 2018; 37: 150-160
- Eliminating waste in U.S. health care.JAMA. 2012; 307: 1513-1516
- Waste in the U.S. health care system: a conceptual framework.Milbank Q. 2008; 86: 629-659
- Health Affairs Health Policy Brief.Published December 13, 2012
- The case for more active policy attention to health promotion.Health Aff (Millwood). 2002; 21: 78-93
- County health rankings: relationships between determinant factors and health outcomes.Am J Prev Med. 2016; 50: 129-135
- Leveraging the social determinants of health: what works?.PLoS One. 2016; 11e0160217
- Oregon's Medicaid transformation: an innovative approach to holding a health system accountable for spending growth.Healthc (Amst). 2014; 2: 163-167
- John Kitzhaber: on achieving healthcare transformation.Healthc Financ Manage. 2013; 67: 54-59
- Cost-Benefit Analysis of Providing Non-emergency Medical Transportation.National Academies Press, Washington, DC2005
- Nonemergency medical transportation: delivering care in the era of Lyft and Uber.JAMA. 2016; 316: 921-922
- Economic burden of diabetic foot ulcers and amputations: Data Points #3.Agency for Healthcare Research and Quality, Rockville, MD2011 (Data Points Publication Series)
- The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstacles.Health Aff (Millwood). 2012; 31: 1777-1785
- Supporting social service delivery through Medicaid accountable care organizations: early state efforts.Center for Health Care Strategies, Published February 2015
- Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models. Final rule with comment period.Fed Regist. 2016; 81: 77008-77831
- Variation in health outcomes: the role of spending on social services, public health, and health care, 2000–09.Health Aff (Millwood). 2016; 35: 760-768
- Government spending in health and nonhealth sectors associated with improvement in county health rankings.Health Aff (Millwood). 2016; 35: 2037-2043
- Association of rideshare-based transportation services and missed primary care appointments: a clinical trial.JAMA Intern Med. 2018; 178: 383-389
- Deployment of preventive interventions: time for a paradigm shift.N Engl J Med. 2018; 378: 1761-1763
- When do we know enough to recommend action on the social determinants of health?.Am J Prev Med. 2011; 40: S58-S66
- States’ influences on Medicaid investments to address patients’ social needs.Am J Prev Med. 2017; 52: 31-37
- A health dividend for America: the opportunity cost of excess medical expenditures.Am J Prev Med. 2012; 43: 650-654
Article Info
Publication History
Published online: March 14, 2019
Identification
Copyright
© 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
