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Shannon Brownlee
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Comparative effectiveness research has been touted as one of the most important paths to bending the health care cost curve downward. In the long run, medical evidence will undoubtedly rationalize the delivery of health care and help control costs, but what about the short term? The Dartmouth Atlas Project has documented a 2.5-fold variation in per capita Medicare spending in different parts of the country, most of which cannot be explained by variation in prevalence of illness or patient preference. These studies suggest that as much as a third of health care dollars are wasted on unnecessary care, the delivery of which is driven in part by a lack of evidence. We can’t wait until the evidence is in. What are some other possible solutions to addressing the problem of unwarranted variation?
About Shannon Brownlee
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