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

This is a preview of subscription content, access via your institution.

References

  1. 1.

    Schwartz AL, Landon BE, Elshaug AG, Chernew ME, McWilliams JM. Measuring low-value care in Medicare. JAMA Intern Med 2014;174(7):1067-1076.

    Article  Google Scholar 

  2. 2.

    Reid RO, Rabideau B, Sood N. Low-value health care services in a commercially insured population. JAMA Intern Med 2016;176(10):1567-1571.

    Article  Google Scholar 

  3. 3.

    Reid RO, Rabideau B, Sood N. Impact of consumer-directed health plans on low-value healthcare. Am J Manag Care 2017;23(12):741-748.

    PubMed  PubMed Central  Google Scholar 

  4. 4.

    Mafi JN, Russell K, Bortz BA, Dachary M, Hazel Jr WA, Fendrick AM. Low-cost, high-volume health services contribute the most to unnecessary health spending. Health Aff 2017;36(10):1701-1704.

    Article  Google Scholar 

  5. 5.

    Schpero WL, Morden NE, Sequist TD, Rosenthal MB, Gottlieb DJ, Colla CH. For Selected Services, Blacks And Hispanics More Likely To Receive Low-Value Care Than Whites. Health Aff 2017;36(6):1065-1069.

    Article  Google Scholar 

  6. 6.

    Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. Analysis of physician variation in provision of low-value services. JAMA Intern Med 2019;179(1):16-25.

    Article  Google Scholar 

Download references

Acknowledgments

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.

Funding

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).

Author information

Affiliations

Authors

Corresponding author

Correspondence to Rachel O. Reid MD, MS.

Ethics declarations

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.

Disclaimer

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.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

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

Download citation