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Healthcare costs continue to rise at an alarming rate in the United States, yet there are signs the quality of care is not increasing as a result of those costs. In 2009, the Institute of Medicine arranged a series of workshops to gather insight on this problem from physicians, nurses, patients, hospital administrators, health economists, employers, insurers, and others.

Their findings are outlined in a lengthy report summarized by the IOM last week. That said, many of their findings overlap and can be grouped into six major types:

  • Unnecessary services
  • Services inefficiently delivered
  • Prices that are too high
  • Excess administrative costs
  • Missed prevention opportunities
  • Medical fraud


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