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Prioritizing Services And Procedures For Value Assessment

Value assessments in healthcare predominantly focus on pharmaceuticals rather than services and procedures, despite the latter comprising a substantial portion of healthcare spending in the US. This disparity limits opportunities to enhance systemwide efficiency and affordability. Click here for article.

  1. Disparity in Focus:

  • Services and procedures account for approximately 70% of healthcare spending in the US but only constitute 42% of published cost-effectiveness analyses (CEAs). In contrast, pharmaceuticals, which make up about 15% of spending, account for 43% of CEAs.

  1. Impact of Neglect:

  • Neglecting value assessment for services and procedures overlooks potential improvements in system efficiency and cost control, focusing attention away from major cost drivers in healthcare.

  1. Existing Initiatives:

  • Organizations like the US Preventive Services Task Force (USPSTF) and Choosing Wisely initiative identify low-value or unnecessary services, although economic criteria are generally absent in these assessments.

  1. Challenges and Opportunities:

  • Addressing wasteful spending on services and procedures requires multifaceted solutions, including financial incentives, quality improvements, and systematic value assessments.

  1. Prioritization Approaches:

  • Approaches like horizon scanning, examining spending patterns, variation indices, and value of information analysis can aid in prioritizing services and procedures for value assessment efforts.

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