Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending

Health Aff (Millwood). 2017 Oct 1;36(10):1701-1704. doi: 10.1377/hlthaff.2017.0385.

Abstract

An analysis of data for 2014 about forty-four low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among these low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently than services that were high and very high cost ($539 or more). The combined costs of the former group were nearly twice those of the latter (65 percent versus 35 percent).

Keywords: Cost of Health Care; Evidence-Based Medicine; Health Spending; Organization and Delivery of Care; Quality Of Care.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Delivery of Health Care / economics*
  • Health Care Costs*
  • Health Expenditures*
  • Health Services / economics*
  • Humans
  • Insurance Claim Review / economics
  • Medicare / economics
  • United States