TY - CHAP M1 - Book, Section TI - The Current State of Healthcare Costs and Waste in the United States A1 - Moriates, Christopher A1 - Arora, Vineet A1 - Shah, Neel PY - 2015 T2 - Understanding Value-Based Healthcare AB - Ms Avery Jones shuffles through the magazines in the waiting room, looking for one she has not yet read. She recently lamented to her grandson that these days she seems to spend more time sitting in medical offices than doing anything else. She is an 82-year-old woman who has lived most of her life as a committed elementary school teacher. She is now retired, widowed, and carries a long list of medical diagnoses, including congestive heart failure (CHF), atrial fibrillation, chronic obstructive pulmonary disease (COPD), osteoporosis, arthritis, and chronic kidney disease. She regularly sees her primary care provider (PCP), her cardiologist, her pulmonologist, and a nephrologist. She is prescribed a total of 12 medications, some of which are taken twice per day. She has to pay a few hundred dollars out-of-pocket each month for her medications, which places a significant strain on her fixed retirement budget. Unbeknownst to her, some of her brand-name prescriptions have effective, cheaper generic alternatives readily available, which would save her more than a hundred dollars each month. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1106933613 ER -