News Headlines Article

Medical Necessity and Unnecessary Care
The Health Care Blog

Unnecessary care that’s not evidence-based—usually associated with excess testing, surgical procedures or over-prescribing—accounts for up to 30% of what is spent in healthcare. In recent months, enforcement actions against physicians and hospitals have gained increased attention. But unnecessary care and over-utilization is not a new story or one that’s easy to understand. Medical necessity means something slightly different in every part of the healthcare industry.

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