Evaluation of Payer Policies to Reduce Low-Value Medical Device-Based Procedure Use.

ABSTRACT:

Importance

Low-value care occurs when the harms or costs of care exceed the benefits. Such care includes when medical device-based procedures are favored over medical management, such as invasive coronary angiography (ICA) and percutaneous coronary intervention (PCI) for stable coronary artery disease; endovascular intervention for lower extremity peripheral arterial disease with intermittent claudication; and nasal endoscopy with balloon ostial dilation and functional endoscopic sinus surgeries (collectively, sinus procedures) for chronic rhinosinusitis.

Objective

To evaluate the association of enacting evidence-based clinical coverage policies for these low-value procedures with their use in Louisiana's Medicaid program.

Design, setting, and participants

Louisiana M

SUBMITTER: Dhruva SS 

PROVIDER: S-EPMC12579349 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature