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PhRMA_Value_Collaborative_Reversed

Low-value health care is treatment that offers little to no clinical benefit to patients yet is a major drain of resources often at the detriment to patients. Low-value health care is one of the biggest drivers of health care spending, costing an estimated $345 billion each year. In 2015, spending on these types of items and services included:

  • $928 million on population-based Vitamin D screening
  • $483 million on antibiotics for sinusitis

These costly items and services often have no impact on a patient’s wellbeing and could directly contribute to health care system inefficiencies, medical errors and wasteful spending. That’s why last month, the Research Consortium for Health Care Value Assessment released a web-based tool allowing users to visually track the prevalence and spending associated with the administration of low-value services.

Designed with state-level organizations in mind, this low-value care visualizer distills information on how many patients experienced low-value care and how much money was spent on those treatments. For example, the tool analyzed commercial-based claims data from Virginia and found that 41% of members received at least one low-value care service and that 38% of overall spending, or approximately $706 million, was attributed to low-value care.

Top 5 Costliest Lo-Value Care Items VA Ad_2

Tools like these can help us move toward a more value-driven health care system that works better for patients. Learn more and use the tool here.

Katie Koziara

Katie Koziara is Senior Director of public affairs at PhRMA focusing on the organization’s executive visibility work and media relations strategy. She previously ran the social media strategy for a D.C.-based non-profit working on federal management and leadership issues. Katie earned her B.A. in Public Policy from the University of Michigan’s Ford School and is currently earning her M.A. in Fiction Writing from Johns Hopkins University.

Katie Koziara

You won’t fix what you don’t value: Two reasons why traditional cost-effective analyses can perpetuate health inequities

June 16, 2022

PhRMA presents research at ISPOR 2022

May 26, 2022

Study finds nearly half of payers believe innovative contracts can lead to lower patient out-of-pocket costs

May 17, 2021

Growth in innovative, value-based contracts holds promise for the health system and for patients

September 24, 2020

Innovative contracts drive access for patients and value for the system

September 9, 2020

ICYMI: Patients saved nearly $800,000 out of pocket through innovative contracting arrangements

April 20, 2020

Addressing barriers that inhibit value-based contracts

February 21, 2020

Guest post: Value-based agreements can improve outcomes and even save patients money at the pharmacy counter

November 7, 2019

New data show how ICER’s value framework could prevent or delay access to treatments for Medicaid patients across the country

November 4, 2019

5 Ways to improve ICER’s value assessment framework

June 20, 2019

Assessing value top of mind at ISPOR 2019

June 5, 2019

New analysis shows 820,000 prescriptions would be in jeopardy if ICER’s value framework is used in Medicaid

March 20, 2019

Value assessments should include all the outcomes that matter to patients and families

February 20, 2019

Event tomorrow: Leaders convene to discuss solutions to advance value-driven health care

October 2, 2018

New whitepaper identifies reasons why ICER’s cost-effectiveness analyses are not useful for payers

September 19, 2018

Guest post: Developing new payment models to ensure patients have access to high-investment therapies

September 6, 2018

Number of value-based contracts continues to rise

August 27, 2018

ICER’s budget impact threshold: Sounding a false alarm on affordability and access

July 24, 2018

PhRMA submission to HHS on blueprint to lower drug prices and reduce out-of-pocket costs

July 16, 2018

How ICER’s assessment of a new class of migraine treatments fails patients

July 10, 2018

Aspen Spotlight Health: Discussing the forefront of innovation

June 21, 2018

New analysis shows negative impact of ICER’s value framework on patient access in Medicare Part B

May 31, 2018

ICYMI: Recent survey adds to growing body of research on barriers to innovative payment approaches

May 29, 2018

Reality check: Value-based contracts are good for patients

April 25, 2018

Video: Barriers to results-based contracts

April 17, 2018

Improving care quality by engaging patients in shared decision making

March 22, 2018

ICYMI: Research shows promise of innovative payment arrangements in reducing costs, improving access

March 15, 2018

Clarity around anti-kickback statute needed to promote innovative payment arrangements

January 10, 2018

Video: What is a results-based contract?

November 13, 2017

Johnson & Johnson, Pfizer, Walgreens and other CEOs discuss value in the future of health care

September 21, 2017

PhRMA CEO in Forbes - How to negotiate better deals for prescription medicines

June 2, 2017

ICYMI: Innovative payment models helping provide patient access to new medicines

May 5, 2017

RA medicines often demonstrate far greater benefits to patients than initially understood

April 5, 2017

Stakeholders Agree: Modernize the legal framework to support move to value-driven health care

March 6, 2017

How do multiple sclerosis patients define value?

February 24, 2017

PhRMA CEO talks White House meeting, innovation & jobs with POLITICO’s Pulse Check

February 9, 2017

VIDEO: PhRMA CEO discusses #GOBOLDLY campaign and White House meeting with CNNMoney’s Maggie Lake

February 3, 2017

The Value Collaborative: Advancing private market solutions to achieve better health, lower costs

January 31, 2017

Low-value health care costs $345B each year and provides little benefit

The Value Collaborative

Low-value health care costs $345B each year and provides little benefit

February 26, 2020

Low-value health care costs $345B each year and provides little benefit

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