Surgical Low-Value Care Between Fee-For-Service and Salaried Health Care Systems
In this cohort study of 304 908 surgical procedures, direct care evinced a significantly lower likelihood of low-value surgery in both 2016 to 2019 and 2020 to 2023. These findings support the contention that changing clinician reimbursement models from fee-for-service to salaried is associated with lower rates of low-value care.
Authors
- Tracey Pérez Koehlmoos (ORCID: https://orcid.org/0000-0003-1377-8615)
- Andrew J. Schoenfeld (ORCID: https://orcid.org/0000-0002-3691-1215)
- Joshua M. Coan
- Madison N. Cirillo
- Christian Coles (ORCID: https://orcid.org/0009-0006-2573-0706)
- Malina O. Hatton (ORCID: https://orcid.org/0009-0009-4032-4433)
- Kaitlyn E. Holly (ORCID: https://orcid.org/0009-0008-4718-6857)
- Aaron W. Gu
Institutions
- Harvard University (US)
- Uniformed Services University of the Health Sciences (US)
- United States Naval Academy (US)
- Massachusetts General Hospital (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-12-02
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.46213
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Defense
- Defense Health Agency