Strategies to Reduce Low-Value Cardiovascular Care: A Scientific Statement From the American Heart Association

Area of Science:

• Cardiology
• Health Services Research
• Health Policy

Background:

• Low-value healthcare services are prevalent, potentially harmful, and incur significant costs.
• Approximately half of U.S. patients undergo low-value tests or procedures annually, risking complications and financial burdens.
• Reducing low-value care is critical in cardiovascular health due to the high incidence and economic impact of cardiovascular disease.

Purpose of the Study:

• To describe the scope and impact of low-value cardiovascular care.
• To review interventions aimed at reducing low-value care across multiple levels (patient, clinician, health system, payer, policy).
• To propose solutions for significant and equitable reductions in low-value care and identify future research priorities.

Main Methods:

• This scientific statement synthesizes existing literature and expert opinion.
• It analyzes data on the prevalence and consequences of low-value cardiovascular care.
• It evaluates various intervention strategies and proposes evidence-based solutions.

Main Results:

• Low-value care in cardiovascular medicine is widespread, contributing to patient harm and increased healthcare expenditures.
• Interventions targeting patients, clinicians, health systems, payers, and policy levels show potential for reducing low-value services.
• A multi-faceted approach is necessary for effective and equitable reduction.

Conclusions:

• Significant reductions in low-value cardiovascular care are achievable through comprehensive strategies.
• Addressing low-value care is essential for improving patient safety, enhancing healthcare value, and controlling costs.
• Further research is needed to optimize interventions and ensure equitable implementation.