Reducing Waste In Health Care. Health Affairs--Health Policy Briefs. December 13, 2012.
Eliminating Fraud And Abuse. Health Affairs--Health Policy Briefs. July 31. 2012.
These two briefs together provide a comprehensive basic overview of the waste problem in health care. A couple of randomly selected highlights:
*Every line of each of Medicare's daily 4.5 million fee-for-services claims is examined by advanced analytic models to spot fraud.
*Eastern European crime organizations have been traced to some cases of Medicare fraud.
*"Adverse events" occur in one-third of hospital admissions according to a 2011 study.
*Small physician practices incur four times the administrative costs of small physician practices in Canada, where physicians have to interact with a single payer agency.
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