Value-based Care
An evidence review of low-value care recommendations: Inconsistency and lack of economic evidence considered
5 Mar, 2021 | 08:16h | UTC
Commentaries on Twitter
Important new work from our @TuftsCEVR team — low value care is determined inconsistently and infrequently considers $$$ when doing so. Thanks to @ddkim62 and Lauren Do for leading this effort and @a_spratt and @Arnold_Ventures for supporting it! https://t.co/1YXd9X5qJk
— Dan Ollendorf (@dollendorf) February 24, 2021
In our new @JournalGIM paper led by @ddkim62 a review of 1167 “low-value care” recommendations across five US organizations found evidentiary rationales for low-value care vary substantially, with most recommendations relying on clinical evidence. https://t.co/cdbMTPps73
— CEVR (@TuftsCEVR) February 24, 2021
Requests for brand name over generic prescription drugs cost the Medicare program $1.7 billion in a single year, study finds
3 Mar, 2021 | 08:31h | UTCOriginal study: Factors Associated With Prescriptions for Branded Medications in the Medicare Part D Program – JAMA Network Open
Commentary on Twitter
Economic evaluation finds prescribers & patients motivated 30% of branded drug dispensing in Medicare Part D, an incremental annual cost of $1.7 billion Medicare & $270 million to patients vs switching to generics. @dr_msocal @GeBaiDC @JohnsHopkinsSPH https://t.co/MkVJdzLczG
— JAMA Network Open (@JAMANetworkOpen) March 3, 2021
Who gets a COVID-19 vaccine and who pays? The need for economic analysis
2 Mar, 2021 | 02:02h | UTC
Commentary on Twitter
NEW from @CGDev and @idsihealth — experts look at the potential of Health Technology Assessment (HTA) on informing how much #COVID19 vaccine countries should buy, who should pay, and how vaccines can be most effectively delivered.
Read: https://t.co/KuMZSARSEF #GlobalHealth
— Center for Global Development (@CGDev) February 24, 2021
New report reviews methods for reducing waste, improving efficiency with expensive injectable medications
28 Feb, 2021 | 21:29h | UTCOriginal report: Medications in Single Dose Vials: Implications of Discarded Drugs (2021) – National Academies of Sciences, Engineering, and Medicine
Commentary on Twitter
"significant amounts of expensive injectable or infused drugs, distributed in single-dose vials, are discarded" but hard to quantify.
Medications in Single-Dose Vials and Implications of Discarded Injectable Drugs: A National Academies Report https://t.co/z3ebKGIcEg
— Suresh Nirody (@snirody) February 26, 2021
Editorial: Bundled payment models in oncology
17 Feb, 2021 | 01:16h | UTCEditorial: Bundled Payment Models in Oncology: Learning to Think in New Ways – JCO Oncology Practice
Counterpoint: Oncology Care Model: A Herculean Effort With Fixable Fatal Flaws – JCO Oncology Practice
Effectiveness of telerehabilitation in physical therapy: A rapid overview
16 Feb, 2021 | 01:53h | UTCEffectiveness of telerehabilitation in physical therapy: A rapid overview – Physical Therapy
Near-equivalence in oncology: Generating evidence to support alternative cost-effective treatments
11 Feb, 2021 | 02:02h | UTC
Commentary on Twitter
Thoughtful piece with real implications for decreasing costs and improving access to cancer care – with particular relevance in low- and middle-resource settings although applicable in all settings. https://t.co/MkQx6Gzte4
— Julie Gralow (@jrgralow) February 10, 2021
Choosing Wisely for Critical Care: The Next Five
9 Feb, 2021 | 01:07h | UTCChoosing Wisely For Critical Care: The Next Five – Critical Care Medicine
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Commentary on Twitter
Critical Care Choosing Wisely: The Next Five
?Don't retain catheters/drains w/o an indication
?Don't delay liberation from MV
?Don't continue antibiotics unnecessarily
?Don't delay mobilizing patients
?Don't provide goal-discordant carehttps://t.co/kSsMh33Okc pic.twitter.com/V9zGb2MLXY— Başak Çoruh (@basakcoruhUW) February 1, 2021
Systematic review: Payment methods for healthcare providers working in outpatient healthcare settings
27 Jan, 2021 | 00:56h | UTCSummary: Payment methods for healthcare providers in outpatient healthcare settings – Cochrane Library
Commentary on Twitter
Payment methods for #healthcare providers in #outpatient healthcare settings https://t.co/wY6LKEmhbZ New @CochraneEPOC systematic review w evidence from 27 studies suggests that different payment methods can affect healthcare provider behaviour in both positive and negative ways.
— Cochrane (@cochranecollab) January 21, 2021
2021 ACC Expert Consensus: Same-day discharge after percutaneous coronary intervention
13 Jan, 2021 | 02:05h | UTCCommentaries: 2021 ACC Expert Decision Pathway on Same-Day Discharge After PCI – American College of Cardiology AND Checklist for Same-Day Discharge PCI Stresses Buy-In, and a Plan – TCTMD AND Same-Day Discharge After PCI: ACC Expert Consensus Decision Pathway – Cardiology Advisor AND Ticking all the right boxes for same-day discharge PCI – MDedge Cardiology
Case series: Safety of same‐day discharge after uncomplicated, minimalist transcatheter aortic valve replacement in the COVID‐19 era
13 Jan, 2021 | 02:03h | UTCCommentary: Pandemic Prompts Closer Look at Same-Day Discharge After TAVI – TCTMD
Commentary on Twitter
With dwindling hospital capacity from #COVID19, study of safety of same‐day discharge after #TAVR @emoryhealthcare available via @CCIJournal. SDD after uncomplicated #TAVR in selected patients may open beds & prevent unnecessary CV morbidity. https://t.co/fuTdVUrFu5
— Chandan Devireddy MD MBA (@drdevireddy) December 31, 2020
Perspective: Reinventing pediatrics through video care first
3 Nov, 2020 | 02:57h | UTCReinventing Pediatrics Through Video Care First – JAMA Pediatrics (free for a limited period)
Five things clinicians and patients should question in Pediatric Cardiology
3 Nov, 2020 | 02:59h | UTCCommentary: Choosing Wisely: Practices to Question in Pediatric Cardiology – NEJM Journal Watch
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Deimplementation in Pediatrics: Past, Present, and Future
3 Nov, 2020 | 02:56h | UTCDeimplementation in Pediatrics: Past, Present, and Future – JAMA Pediatrics (free for a limited period)
Can covid-19 help us deal with the pandemic of defensive medicine?
2 Nov, 2020 | 02:28h | UTCCan covid-19 help us deal with the pandemic of defensive medicine? – The BMJ Opinion
Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery
29 Oct, 2020 | 09:07h | UTCRelated Systematic Review: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research AND Summary: People leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR
See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Commentary on Twitter
Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study- https://t.co/VRZ1LKzEvJ pic.twitter.com/2G1InEcIEZ
— AJOG (@AJOG_thegray) October 27, 2020
Video consultations in primary and specialist care during the covid-19 pandemic and beyond
21 Oct, 2020 | 09:30h | UTCVideo consultations in primary and specialist care during the covid-19 pandemic and beyond – The BMJ
[Abstract Only] Study: Excess days in acute care provide a more comprehensive picture of hospital performance compared to 30-day readmission rates
21 Oct, 2020 | 09:04h | UTCEvaluation of Hospital Performance Using the Excess Days in Acute Care Measure in the Hospital Readmissions Reduction Program – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Excess Days in Acute Care Provide More Comprehensive Picture of Hospital Performance Compared to 30-day Readmission Rates – AboutHealthTransparency.org AND EDAC: A ’More Comprehensive Picture of Hospital Use’ – Physician’s Weekly
Five things clinicians and patients should question in public health
15 Oct, 2020 | 09:05h | UTCFive Things Clinicians and Patients Should Question – Choosing Wisely Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Meta-analysis: Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness
14 Oct, 2020 | 09:18h | UTCEditorial: Palliative Care for Patients With Noncancer Illnesses
Commentary on Twitter
In this meta-analysis of RCTs of patients with primarily noncancer illness (mostly heart failure) palliative care was associated w less acute health care use & lower symptom burden, with no difference in quality of life https://t.co/ZtH6w48vz4 @kieranlquinn
— JAMA (@JAMA_current) October 13, 2020
Updated Choosing Wisely Canada recommendations: Tests and treatments to question in obstetrics and gynecology
7 Oct, 2020 | 09:02h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Commentary on Twitter
Today, @SOGCorg releases 3 new #choosingwisely recs (#10-12) of tests and treatments to question in #obstetrics & #gynaecology
See the new recs: https://t.co/vFSmJcqY0y pic.twitter.com/luNgGedz2n
— ChoosingWiselyCanada (@ChooseWiselyCA) October 5, 2020
De-adopting low-value care: Evidence, eminence, and economics
4 Oct, 2020 | 23:20h | UTCDe-adopting Low-Value Care: Evidence, Eminence, and Economics – JAMA (free for a limited period)
Author Interview: De-Adopting Low-Value Care—Evidence, Eminence, and Economics
Commentary on Twitter
Evidence alone is NOT sufficient for many healthcare professionals to abandon low-value treatments that provide little or no benefit to patients.
Often it's only when their financial reimbursement is reduced or stopped that their use declines quickly. https://t.co/YiggZyqUMp
— The Sp⚽️rts Physio (@AdamMeakins) October 3, 2020
Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers
1 Oct, 2020 | 08:58h | UTC
Commentary on Twitter
Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs
— Olaf Geerse (@OlafGeerse) September 30, 2020
WHO publishes pricing policy guideline to improve affordable access to medicines
30 Sep, 2020 | 09:33h | UTCNews release: WHO publishes pricing policy guideline to improve affordable access to medicines – World Health Organization
Original Guideline: WHO guideline on country pharmaceutical pricing policies – World Health Organization
Commentary on Twitter
The ? guideline covers ? pricing policy approaches, incl.:
✔️ External & internal reference pricing
✔️ Value-based pricing
✔️ Promoting price transparency
✔️ Tendering & negotiation
✔️ Pooled procurement
✔️ Cost-plus pricing
…and more? https://t.co/XYqUYStolJ pic.twitter.com/T7vDMUmfBK
— World Health Organization (WHO) (@WHO) September 29, 2020
Perspective: The incompatibility of patient-centered care with fee-for-service payment
29 Sep, 2020 | 09:57h | UTCThe Incompatibility of Patient-Centered Care With Fee-for-Service Payment – JAMA Internal Medicine
Commentary on Twitter
Deeply moving, beautiful, insightful article. The US health care system MUST change the way we pay. That's the only way we will improve health, give the right care, and restore the centrality of care-giving.https://t.co/5cc59glIMm
— Dr. Tom Frieden (@DrTomFrieden) September 28, 2020