Amitabh Chandra Photo

Amitabh Chandra

Appointment
Malcolm Wiener Professor of Social Policy
Office Address
79 John F. Kennedy St. Taubman Bldg 344
617-496-7356
Baicker, Katherine, and Amitabh Chandra. "A Trillion-Dollar Geography Lesson." Health Affairs 28.5 (September/October 2009): 1448-1451.

Abstract

Dartmouth researchers have demonstrated that there is tremendous geographic variation in the efficiency of health care delivery systems, fostered by perverse incentives that penalize integration, reward fragmentation, and encourage the use of technologies in the "gray areas" of medicine. This research suggests that it is possible to deliver higher-quality care at lower cost. We argue that integrated delivery systems, bundled payments, and more sophisticated comparative effectiveness analysis, rather than crude across-the-board cuts in payments, are the keys to stemming cost growth, improving value, and raising the trillion dollars needed to cover the uninsured.