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Letters |20 January 2004

Implications of Regional Differences in Spending

Howard A. Levin, MD

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  • From Health and Disease Strategies, Philadelphia, PA 19106.
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TO THE EDITOR:
The prospect of a 30% decrease in Medicare costs with no degradation in health outcomes is already a powerful incentive for hard-strapped government officials to act. However, as startling as the estimates of saving to the system are, it is possible that this is an underestimate. In the articles by Fisher and colleagues (1, 2), the lowest quintile is assumed to be the benchmark, but this may not be the case. The End-of-Life Expenditure Index includes a highly heterogeneous case mix with many diagnoses and treatment courses. A hospital referral region with overall lower costs might...
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Levin HA. Implications of Regional Differences in Spending. Ann Intern Med. 2004;140:146. doi: https://doi.org/10.7326/0003-4819-140-2-200401200-00020

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Published: Ann Intern Med. 2004;140(2):146.

DOI: 10.7326/0003-4819-140-2-200401200-00020

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2004 American College of Physicians
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