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Brad Shannon maintains this blog. He is political editor at The Olympian and can be reached at 360-753-1688 or bshannon@theolympian.com.
The congressional effort to eliminate waste and fix the way Medicare and Medicaid pay for medical services is still running a bit under the radar. But the quality-reform piece that U.S. Rep. Jay Inslee earlier negotiated on behalf of Speaker Nancy Pelosi is now apparently a piece of the final House health reform bill.
Thomson Reuters just put out a "white paper" today that pegs the amount of wasteful spending at between $600 billion and $850 billion a year.
I missed their telephone press conference last week, but Inslee, a Bainbridge Island Democrat, and U.S. Rep. Norm Dicks, D-Belfair, had this to say about their effort last week in a release put out by Inslee's office:
Click here to read a story about Inslee's reform effort, which he talked about during a visit to The Olympian's editorial board in early September.
What still isn't clear to me is how well the Inslee-Dicks prescription for less waste matches up with the diagnosis of Thomson Reuters' report. The former deals with unequal payments to states and perverse incentives for doctors to order tests that might be lucrative but not tied to better health outcomes. The latter identifies 40 percent of spending as waste and mentions over-prescribing of prescription drugs but also includes unnecessary tests ordered to protect against medical malpractice claims.
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