Click here to obtain permission for variation in health care spending target decision making not geography translation and other rights for information on how to request permission to translate our work and for any other rights related query please click here. For over three decades researchers have documented large systematic variation in medicare fee for service spending and service use across geographic regions seemingly unrelated to health outcomes this variation has been interpreted by many to imply that high spending areas are overusing or misusing medical care policymakers seeking strategies to reduce medicare costs naturally wonder if . Variation in health care spending target decision making not geography the recommendations of variation in health care spending are designed to help medicare and medicaid services encourage providers to efficiently manage the full range of care for their patients thereby increasing the value of health care in the united states . Variation in health care spending target decision making not geography health care in the united states is more expensive than in other devel oped countries costing 27 trillion in 2011 or 179 percent of the national gross domestic product increasing costs strain budgets at all levels of gov. Target decision making not geography 2 committee on geographic variation in health care spending and promotion of high value care joseph p newhouse chair and health status geographic variation is not further explained by other beneficiary demographic factors insurance
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