Without getting too mired in the history of health care delivery in the U.S., we can say that we have struggled with the issue of health care costs for decades. Different methods have been tried, abandoned, and tried again under different circumstances. Managed care, capitated payments, fee for service, evidence based medicine, best practices, etc […]

For several years, a number of studies, from Harvard’s School of Public Health to The Rand Institute have suggested that among the reasons why America’s health care bill is so high is that we spend a lot on unnecessary and duplicative care — perhaps up to 40% of the nation’s total health care tab.