Reducing low-value healthcare requires a multidisciplinary approach of research, implementation, evaluations and adjustment. Ensuring equitable access to care is also necessary, and policies and interventions must be designed to address the needs of people in historically under-resourced communities and from diverse and ethnic groups. The authors say rigorous studies are needed to validate these interventions and identify potential unintended consequences.

Additionally, research is required on new ways that patients and healthcare professionals can discuss the value of tests and treatment and assess the effectiveness of payment models designed to improve healthcare value, according to Kini. “Prior authorization imposes a large burden on healthcare professionals to obtain insurance approval for tests and treatments. Prior authorization and some value-based payment models may unintentionally worsen existing racial and ethnic healthcare disparities. A one-size-fits-all approach to reducing low-value care is unlikely to succeed; rather, acting through multiple perspectives and frequently measuring impacts and potential unintended consequences is critical.”

Back to HCB News

Cardiology Homepage