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Calculating the cost of waste
Modern Healthcare

The first step on the journey to eliminating low-value care is measuring it.

Several initiatives, from Choosing Wisely to the Task Force on Low-Value Care to the U.S. Preventive Services Task Force, have created lists of tests and procedures considered to have little to no clinical benefit.

But turning those lists into measures that can be identified in claims data is no easy feat. An inappropriate test for one patient may be necessary for another, and insurance claims often lack details needed to tell the difference.

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