Evaluation of Payer Policies to Reduce Low-Value Medical Device–Based Procedure Use
In this quality improvement study, enactment of evidence-based clinical coverage policies for 4 common medical device-based procedures was not associated with a reduction in their use in Louisiana Medicaid. These findings suggest a need for more comprehensive strategies to improve evidence-based care for Medicaid through multipronged efforts that include education, policymaking, and value-based coverage implementation.
Authors
- Sanket S. Dhruva (ORCID: https://orcid.org/0000-0003-0674-2032)
- John Neuhaus (ORCID: https://orcid.org/0000-0003-0998-4352)
- Marcus A. Bachhuber (ORCID: https://orcid.org/0000-0002-5610-8382)
- Rita F. Redberg (ORCID: https://orcid.org/0000-0001-6281-0250)
- Michael A. Incze (ORCID: https://orcid.org/0000-0002-1468-930X)
- Sarah R. Tingley (ORCID: https://orcid.org/0009-0008-4584-9530)
Institutions
- San Francisco VA Medical Center (US)
- Oregon Health & Science University (US)
- University of California, San Francisco (US)
- University of Utah (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-10-31
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.3898
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00