Question.5379 - Case Review: Your friend Alicia is puzzled by an observation she read in a newspaper column: Research by John Wennberg and colleagues at Dartmouth Medical School suggest that if everyone in America went to Mayo Clinic for care, our annual healthcare bill would be 25 percent lower (more than $500 billion in savings!), and the average quality of care would improve. It makes sense to Alicia that, given Mayo’s reputation, the average quality of care would improve if everyone received care of the caliber Mayo provides. The part she doesn’t understand is how providing Mayo Clinic–level care could possibly reduce annual expenditures on healthcare by 25 percent. Wouldn’t it cost more to provide better care? If anything, Alicia believes, providing everyone Mayo Clinic–level care would increase expenditures by 25 percent. Did the columnist get the facts wrong? Address Alicia’s puzzlement with a clear, complete explanation.
Answer Below:
Alicia’s confusion is completely justified. This is because of the paradox created by the research of John Wennberg and his colleagues at Dartmouth Me...
Alicia x confusion xx completely xxxxxxxxx This xx because xx the xxxxxxx created xx the xxxxxxxx of xxxx Wennberg xxx his xxxxxxxxxx at xxxxxxxxx Medical xxxxxx The xxxxxxx in xxx research xx that xx all xxxxxxxxx go xx Mayo xxxxxx the xxxxxxxxxxx on xxxxxx healthcare xxxx reduce xxxx the xxxxxxxx found xxxx if xxxx Clinic-level xxxxxxxxx is xxxxxxxx to xxxxxxxx the xxxxxx expenditure xx healthcare xxxx reduce xx to xxxxxxxxxxx percent xxxxxxx Alicia xxxxxx if xxxx Level xxxxxxxxx is xxxxxxxx to xxxxxxxx then xxx expenditure xxxx not xxxxxxxx rather xx will xxxxxxxx by xxx thinks xxxx quality xxxxxxxxx comes xx a xxxx so xxx total xxxxxxxxxxx will xxxxxxxx But xxx research xxxx many xxxxxxxx as xx how xxx overall xxxxxx expenditure xxxx be xxxxxxx if xxx Mayo xxxxxx model xx used xxx main xxx in xxxxx Mayo xxxxxx model xxxxxxx expenditure xx healthcare xx by xxxxxxxxxxx unnecessary xxxxx and xxxxxxxxxx At xxxxxxx in xxx US xxxx health xxxx service xxxxxxxxx in xx recommend xxxxxxxx tests xx the xxxxxxx without xxxxxxxx explaining xxxxx benefits xx them xxxxxxxxxxx tests xxxxx lead xx surplus xxxxxxxxxxx And xxxx is xxxxx the xxxx model xxxxxxx in xx per xxxx model xxxx those xxxxx should xx recommended xx the xxxxxxx that xxx absolutely xxxxxxxxx This xxx bring xxxx the xxxxxxx expenditure xx around xxx Mayo xxxxx also xxxxxxxxx that xxxxxxxxxxx cases xx emergency xxxxx should xxxxxx be xxxxx with xx a xxxxxxxx basis xxx idea xxxx is xx prevent xxx disease xxxx spreading xx more xxxxxxxx stages xxxxx would xxxxxxx further xxxxxxxxx intervention xxx Mayo xxxxx also xxxxxx for xxx use xx the xxxx effective xxxxxxxxxx which xxx again xxxxxxxxxx to xxxxxx financial xxxxxxx The xxxx model xxxx advocates xxx use xx preventive xxxx which xxx again xxxxxxxxxx to xxxxxx financial xxxxxxxxxxx It xxx be xxxx that xxx Mayo xxxxxx has xxxxx the xxx that xxxxxxx care xxxx not xxxxxxxx translate xx higher xxxxxxx expenditure xxxxxxxxxxxxxxxxx A xxxxxxx D x Does xxxxxxxxxxx mortality xxxxxxx the xxxxxxx of xxxx Evidence xxxx a xxxxxxxx mergers xxx acquisitions xxx Quarterly xxxxxxx of xxxxxxxxx - xxxxxxxx J x Gittelsohn x Small xxxx variations xx health xxxx delivery xxxxxxx -More Articles From Health
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