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Friday, October 5, 2012

IOM Says US Health System Wastes $750 Billion Annually.


The AP Share to FacebookShare to Twitter (9/7, Alonso-Zaldivar) reports that yesterday the Institute of Medicine issued a report Share to FacebookShare to Twitter finding that "the US health care system squanders $750 billion a year -- roughly 30 cents of every medical dollar -- through unneeded care, Byzantine paperwork, fraud and other waste." The conclusion drawn is that while both "President Obama and Republican Mitt Romney are accusing each other of trying to slash Medicare and put seniors at risk...deep cuts are possible without rationing, and a leaner system may even produce better quality." That's because the IOM's "one-year estimate of health care waste is equal to more than 10 years of Medicare cuts" under the ACA and "more than enough to care for the uninsured." The report also "identifies six major areas of waste: unnecessary services ($210 billion annually), inefficient delivery of care ($130 billion), excess administrative costs ($190 billion), inflated prices ($105 billion), prevention failures ($55 billion) and fraud ($75 billion)."
        The Washington Times Share to FacebookShare to Twitter (9/7, Cunningham) reports in its "Inside Politics" blog, "The report highlighted flaws that have long plagued the US health care system, which is relatively slow to adopt new technologies, lacks incentives for doctors and hospitals to keep costs down and doesn't encourage all of a patient's providers to coordinate care."
        ABC News Share to FacebookShare to Twitter (9/7, Wong) in its "Medical Unit" blog says that "the money squandered on services that failed to improve Americans' health could have provided health insurance for more than 150 million workers or covered the salaries of all of the nation's first responders for more than 12 years." Author Dr. Mark Smith, president of the California HealthCare Foundation, said, "We're spending money in ways that don't seem to improve people's health."
        Improvement Available With Existing Technologies, Tools. Bloomberg News Share to FacebookShare to Twitter (9/7, Wayne) says the report finds that healthcare "needs stronger government leadership to coordinate practices as the Affordable Care Act increases burdens on caregivers." Recommendations include "fully adopting electronic medical records, ushering drug discoveries into use faster and improving physician training," which Bloomberg sums up as "better training and sharing of information."
        The San Francisco Chronicle Share to FacebookShare to Twitter (9/7, Colliver) says the report also found that "tens of thousands of deaths could be averted through better care," and that "improving quality and lowering costs are not only possible but could be done with tools and technologies that exist."
        CQ Share to FacebookShare to Twitter (9/7, Reichard, Subscription Publication) reports, "Wasted money isn't the only issue. 'By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state,' the IoM said." It also said that "achieving higher quality at a lower cost requires no less than transforming all of US health care into a 'learning' system." Also, "IoM officials pointed to concrete examples of systems that are doing what they recommend, such as Denver Health in Denver Colorado and the Virginia Mason health system in Seattle Washington."
        The Business Courier of Cincinnati Share to FacebookShare to Twitter (9/7, Ritchie, Subscription Publication) in its "CincyBiz" blog says, "To fix the system, the report prescribed: better use of data; payment systems that reward quality and value; adoption of electronic health records and mobile technologies; and transparency about the costs and outcomes of care."
        The Daily Mail (UK) Share to FacebookShare to Twitter (9/7) reports, "The report's main message for government is to accelerate payment reforms, said panel chair Dr. Mark Smith."
        HealthDay Share to FacebookShare to Twitter (9/7, Preidt) reports, "Solutions include greater use of electronic health records, promoting patient and family involvement in health care decision-making, and quicker adoption of medical breakthroughs."
        MedPage Today Share to FacebookShare to Twitter (9/7, Fiore) quotes committee member Bruce Ferguson, MD, saying, "It is quite impossible to keep up with the literature in our own little specialties." Also, "patients are receiving fragmented care, with elderly patients seeing an average of seven doctors across four practices every year."
        Modern Healthcare Share to FacebookShare to Twitter (9/7, McKinney, Subscription Publication) reports, "In the 382-page report, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, an 18-member expert panel argues for a set of improvement strategies that panel members say will make information more accessible, engage patients and their families and make care more equitable."
        Government Health IT Share to FacebookShare to Twitter (9/7, McCann) reports, "Existing knowledge, transparency, and new informatics tools wield the potential to mend the – some say broken – healthcare system to achieve continuous improvement and better quality care at lower costs." And "better use of data is a critical element," but "mobile technologies and electronic health records offer significant potential to capture and share health data better."

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