Quality of care in the federal Medicare program remains poor. New evidence shows a wide range of serious, often worsening problems in the physician and hospital care received by America’s 41 million Medicare beneficiaries.
The bad news includes (1) increases in preventable medical mistakes; (2) inadequate screening and treatment of colorectal cancer, hypertension, depression, high cholesterol, and urinary incontinence; and (3) wide, unjustified geographic and racial disparities in quality of care received.
There is some good news, including more preventive services and modest improvements in inpatient care of heart attacks and outpatient care of diabetes.
Medicare, of course, does not operate in a vacuum. Medicare beneficiaries suffer from the consequences of poor quality, inefficiency, and outdated systems just like the rest of us. The costs – in lost lives, suffering, and wasted dollars – are staggering. And while progress is slow, Medicare has begin several initiatives to improve care.



