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Of all the pressing challenges in the US health care system, lack of innovation in delivery may be the most important. Indeed, as we come upon the 50th anniversary of Medicare (http://1.usa.gov/1FayVgF), a few facts seem apparent. What we do for patients—whether they have infectious diseases, heart disease, or cancer—has changed dramatically. Yet, how we do those things—the basic structure of our health care delivery system—has changed very little.
This lack of innovation in how we do things is a major reason why health care productivity has been so low and high spending has had insufficient benefits for patients.
Jha AK. Innovating Care for Medicare Beneficiaries: Time for Riskier Bets and Embracing Failure. JAMA. 2015;313(17):1701–1702. doi:10.1001/jama.2015.2605
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