JAMA Network May 13, 2019
Health care systems are increasingly under pressure to realign their service lines to achieve value-based care. Because value is influenced by both the frequency and price of a service, payers and systems have adopted 2 general approaches to improving care delivery: reducing the frequency of procedures and reducing the price of each procedure.
One strategy to achieve higher-value care is to reduce the frequency of low-effect tests or procedures. The...