Dartmouth Response to “Target Decision-makers, Not Geography” Report

The title of the Institute of Medicine’s recent report “Target Decision-makers, Not Geography” at first glance appears to be an indictment of the work of the Dartmouth Atlas, which largely claims that policymakers can reduce healthcare spending by targeting the highest spending geographic areas. A more detailed review shows that the empirical findings from IOM…

Regional Variation in Medicare Spending

What causes regional variation in spending and outcomes?  Previous research claimed that physician treatment norms in different areas account for much of these differences.  Recent research, however, claims that most of these regional differences are caused by geographic differences in health status.  Reschovsky et al (2011) find the following when examining a sample of Medicare…