Strategies to Reduce Low-Value Cardiovascular Care: A Scientific Statement From the American Heart Association
Vinay Kini, Khadijah Breathett, Peter W. Groeneveld, P. Michael Ho, Brahmajee K. Nallamothu, Pamela N. Peterson, Pam Rush, Tracy Y. Wang, Emily P. Zeitler, William B. Borden
Abstract
Low-value health care services that provide little or no benefit to patients are common, potentially harmful, and costly. Nearly half of the patients in the United States will receive at least 1 low-value test or procedure annually, creating risk of avoidable complications from subsequent cascades of care and excess costs to patients and society. Reducing low-value care is of particular importance to cardiovascular health given the high prevalence and costs of cardiovascular disease in the United States. This scientific statement describes the current scope and impact of low-value cardiovascular care; reviews existing literature on patient-, clinician-, health system-, payer-, and policy-level interventions to reduce low-value care; proposes solutions to achieve meaningful and equitable reductions in low-value care; and suggests areas for future research priorities.