The United States has the highest per capita spending on health care of any industrialized country but continuously lags behind other nations in health care results consisting of life expectancy and infant death. According to The Health Imperative: Reducing Costs and Improving Outcomes, the expenses of health care have actually strained the federal spending plan, and adversely affected state federal governments, the private sector and people. The Health Imperative: Lowering Expenses and Improving Outcomes identifies a number of elements driving expense development including clinical uncertainty, perverse economic and practice rewards, system fragmentation, absence of client involvement, and under-investment in population health.
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