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Comment & Response
September 25, 2018

Improving Health Care Value by Considering Cost-effectiveness

Author Affiliations
  • 1Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid School of Medicine, Madrid, Spain
JAMA. 2018;320(12):1287. doi:10.1001/jama.2018.10620

To the Editor Dr Pandya1 proposed a definition of low-value care based on the cost-effectiveness of the interventions and not exclusively on their effectiveness. The author presented several examples of interventions that improve the health of patients but are not worth the additional costs to achieve the health gains (eg, health care services with cost-effectiveness ratios >$100 000 to $150 000 per quality-adjusted life-year [QALY] may be effective but inefficient).