Surgical Low-Value Care Between Fee-For-Service and Salaried Health Care Systems.

ABSTRACT:

Importance

Low-value care has been recognized as a pernicious phenomenon that increases health care costs and contributes to suboptimal care delivery. Low-value surgery may be less likely in systems that used salaried reimbursement as opposed to fee-for-service.

Objective

To explore the association of reimbursement model with low-value surgery among a battery of elective procedures.

Design, setting, and participants

This cohort study used TRICARE health care claims to compare rates of low-value surgery over fiscal years 2016 to 2023. Participants included patients aged 10 years and older who underwent acromioplasty, partial knee meniscectomy, shoulder rotator cuff repair, wrist arthroscopy, or ankle arthroscopy. Data were analyzed from January to May 2025.

Exposure

SUBMITTER: Schoenfeld AJ 

PROVIDER: S-EPMC12673412 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature