Waste in the Medicare Program: a National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending

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Dr. Reid had full access to all the data in the study and takes responsibility for the integrity of the data analysis. The authors acknowledge Scot Hickey and Mark Totten for their research programming. Milliman provided RAND free access to the Milliman MedInsight® Health Waste Calculator and technical assistance.


Rachel Reid, Lesley Baseman, and Cheryl Damberg’s work was supported through the RAND Center of Excellence on Health System Performance, which is funded through a cooperative agreement (1U19HS024067-01) between the RAND Corporation and the Agency for Healthcare Research and Quality. John Mafi is supported by the UCLA Clinical and Translational Science Institute (CTSI) KL2 Award KL2TR001882 (PI: Mitchell Wong), Arnold Ventures, and the National Institutes on Aging R01AG059815-01 (PI: Catherine Sarkisian).

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Correspondence to Rachel O. Reid MD, MS.

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Conflict of Interest

Dr. Fendrick is a co-developer of the Milliman MedInsight Health Waste Calculator and receives royalties from its sale. The authors have no other conflicts of interest to disclose.


The content and opinions expressed in this publication are solely the responsibility of the authors and do not reflect the official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

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Reid, R.O., Mafi, J.N., Baseman, L.H. et al. Waste in the Medicare Program: a National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending. J GEN INTERN MED (2020). https://doi.org/10.1007/s11606-020-06061-0

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