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Reducing Administrative Costs and Improving the Health Care System

List of authors.
  • David Cutler, Ph.D.,
  • Elizabeth Wikler, B.A.,
  • and Peter Basch, M.D.

The United States spends $361 billion annually on health care administration — more than twice our total spending on heart disease and three times our spending on cancer. But the experience of other industries shows how to realize large savings rapidly.

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Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From the Department of Economics (D.C.) and the Ph.D. Program in Health Policy (E.W.), Harvard University, Cambridge, MA; and MedStar Health, Washington, DC (P.B.).

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