Health Affairs August 10, 2018
For decades, the share of US spending going to health care costs has continued to grow. New treatments, many of which have helped Americans live longer and better lives, have contributed to these increasing costs. But for many Americans, particularly those with complex medical or social needs, quality of care and outcomes are falling short of their potential. More than half of Americans older than 65 years require significant medical or functional support. For those with serious chronic conditions, such as heart disease and diabetes, as well as functional limitations due to physical or mental impairment, US health care can often seem disorganized, siloed, opaque, and full of unexpected surprises such as high copayments for needed medications or exorbitant bills....
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