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Comparing Local and Regional Variation in Health Care Spending
New England Journal of Medicine Link to more items from this source
Nov. 14, 2012

"There was substantial local variation in health care (drug and nondrug) utilization and spending. Furthermore, many of the low-spending hospital service areas (HSAs) were located in high-spending hospital referral regions (HRRs), and many of the high-spending HSAs were in low-spending HRRs.... The effectiveness of payment reforms in reducing overutilization while maintaining access to high-quality care depends on the effectiveness of targeting.... HRR-based policies may be too crudely targeted to promote the best use of health care resources."

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