Case Study Of Underuse: Lack Of Preventive Care

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In responding to the question, in the context of Underuse, over half of the recommended services such as preventive care, chronic care and acute condition are not provided to the Medicare patients. The lack of effectiveness was retrospectively attributed to an absent association between the review process and the identification of ways to improve care. In addition, there was an absence of formal evaluation criteria to guide providers’ decision making, and to adjust payment based on the quality of care. Also involved was the avoidance of unnecessary overuse, inappropriate misuse, and non-indicated underuse of services. The underlying causes of these issues are multilayered and complex. They include a previously observed lack of accountability
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