Low-value Care

Medicare pays billions for questionable back surgeries for older adults

Abstract: A new analysis revealed that Medicare spent roughly $2 billion over three years on unnecessary back surgeries for older adults. This alarming figure comes from research conducted by the nonpartisan Lown Institute think tank. The study examined common procedures including spinal fusion, laminectomy, and vertebroplasty, finding that an unnecessary back surgery is performed on a Medicare beneficiary every eight minutes. More than 200,000 procedures were identified as potentially unnecessary during the study period.

Publication: McKnights Long-Term Care News

Date Published: November 16, 2024

Author(s): Donna Shryer

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.