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3 ways Medicare can reduce overtreatment

Jim Sabin, MD
Physician
December 16, 2013

If we in the U.S. ever hope to get a grip on Medicare costs, our society will first have to navigate a steep learning curve. That’s the lesson to take from three recent publications.

Despite the fact that Medicare is expected to represent 18% of the federal budget in 2020 (up from 15% in 2010), and that the Medicare Part A trust fund is projected to have insufficient funds to cover …

Read more…

3 ways Medicare can reduce overtreatment

How waste is directly harmful to patients

Jim Sabin, MD
Physician
May 14, 2013

Experts, most recently former CMS administrator Don Berwick, tell us that no less than 20% – 30% of medical care is waste. At the very least, waste is harmful to all those who pay for Medicare. But often it’s directly harmful to the patient as well.

I recently saw a friend at a party. Since we’d last seen each other my friend’s spouse had died. (I’m deliberately avoiding gendered pronouns and …

Read more…

How waste is directly harmful to patients

Will the accountable care organization (ACO) be a durable part of reform?

Jim Sabin, MD
Policy
October 25, 2010

Magic bullets come and go in the world of health policy, but the accountable care organization (ACO) is likely to be a durable reform. Except for group practices like Geisinger, Harvard Vanguard, Kaiser Permanente, systems like the VA, and local communities in which independent practitioners have established cooperative collaborations, health care has been grotesquely uncoordinated in the U.S. ACOs speak to that structural lesion.

Title III of the Patient Protection and …

Read more…

Will the accountable care organization (ACO) be a durable part of reform?

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  • Most Popular

  • Past Week

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • The synthetic opioid market: Why cartel arrests do not stop the crisis

      Carlos N. Hernandez-Torres, MD | Conditions
    • The rhythm of healthy aging: Moving beyond health care metrics

      Gerald Kuo | Conditions
    • The clash between defensive medicine and value-based health care

      Olumuyiwa Bamgbade, MD | Physician
    • Managing acute heart failure: evidence from the DOSE trial

      Benjamin P. Geisler, MD, Jeffrey L. Greenwald, MD, and Kathy May Tran, MD | Conditions
    • The danger of detachment: How medical training reveals character

      Ronald L. Lindsay, MD | Physician
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      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • The synthetic opioid market: Why cartel arrests do not stop the crisis

      Carlos N. Hernandez-Torres, MD | Conditions
    • Bayesian reasoning in health care: When to refuse medical tests

      Martin Bello, PhD | Tech
    • The truth about opioid analgesics and nonsteroidal anti-inflammatory drugs

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      Timothy Lesaca, MD | Physician

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