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Related Experiment Video

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A Framework for Measuring Low-Value Care.

George Miller1, Corwin Rhyan1, Beth Beaudin-Seiler1

  • 1Altarum Center for Value in Health Care, Arbor, MI, USA.

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
|April 23, 2018
PubMed
Summary

Estimating low-value care nationwide is crucial for reducing healthcare waste. This study presents a framework to measure and track wasteful spending, aiding policymakers and health systems in improving efficiency.

Keywords:
administrative claimshealth spendinglow-value caremeasuring clinical waste

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Area of Science:

  • Health Economics
  • Healthcare Management
  • Health Services Research

Background:

  • Over 30% of US healthcare spending is considered wasteful.
  • Low-value care significantly contributes to unnecessary costs and patient risk.
  • Identifying and reducing low-value care is essential for healthcare efficiency.

Purpose of the Study:

  • To develop a nationwide method for measuring low-value care.
  • To identify key clinical services contributing to healthcare waste.
  • To establish a system for tracking progress in reducing low-value care.

Main Methods:

  • Reviewed existing methodologies for measuring low-value care.
  • Developed an integrated framework combining multiple measurement approaches.
  • Outlined a process and research agenda for framework implementation.

Main Results:

  • An integrated framework was developed to estimate and track low-value care.
  • The framework combines multiple methods for comprehensive waste assessment.
  • A feasible implementation process and research plan were identified.

Conclusions:

  • A comprehensive methodology for measuring and tracking low-value care is vital for waste reduction.
  • The proposed framework is feasible for implementation.
  • Incremental implementation allows for near-term measurement capabilities that can be enhanced over time.