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HERC Health Economics Seminar

Use and Cost of Low-Value Health Services by Veterans in VA and non-VA Settings

by Thomas Radomski, MD, MS ; Carolyn Thorpe, PhD, MPH
Seminar date: 2/21/2024

Description: Low-value care, defined as the use of a health service whose harms or costs outweigh its benefits, is a major driver of wasteful healthcare spending and exerts physical, psychological, and financial harms upon patients. Prior research on the use of individual low-value services suggests that low-value care may also be prevalent within VA. However, Veterans’ comprehensive use and cost of low-value services delivered by VA facilities or through VA Community Care (VACC) programs has not been previously quantified. Moreover, Veterans’ high degree of dual enrollment in VA and Medicare may subject them to care fragmentation and poor care coordination as they transition between VA and non-VA sources of care, placing them at increased risk of receiving low-value health services outside VA. In this seminar, we will characterize the use, related costs, and determinants of Veterans’ use of low-value health services from VA Medical Centers, VA Community Care Programs, and Medicare.

Intended Audience: Health care providers, health services researchers, and clinical administrators and leaders

View archived session video:

DOWNLOAD: PDF handout | Audio only (mp3) | transcript

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