Abstract

In the past decade, the need to temper the rising cost of care in the United States has become a national priority. Most concerning is that more than $900 billion of the nearly $4 trillion spent each year is not effectively improving patients’ health [1]. Additionally, a large portion of this “wasted expenditure” reflects deficiencies at the provider-patient level: use of low-value services, failure of care delivery, and failure of care coordination [1]. Strategies to improve value (higher-quality care at a lower cost) are being designed at the population level, institutional level, and provider level and may be driven by multiple stakeholders, including policymakers, payers, health system leaders, or frontline clinicians.

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