Low-value Care

Will COVID-19 Wring Low-Value Healthcare out of the System?

Abstract: Many people avoided going to the hospital or doctor for nonemergency health issues because they didn’t think it was worth the risk of infection. “Although this likely prevented them from receiving tests and scans they didn’t need, on the flip side, many people likely suffered because they didn’t get necessary care,” says Vikas Saini, M.D., president of Lown Institute, a healthcare think tank in Brookline, Massachusetts, that focuses on low-value care. The pandemic, in Saini’s view, may also speed the move away from fee- for-service to value-based payment: “I foresee a greater openness and interest in capitated payment models in which providers are paid a flat fee per patient per month.”

Publication: Managed Healthcare Executive

Date Published: January 22, 2021

Author(s): Karen Appold

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.