In Reply Mr Cahan and colleagues comment on our Viewpoint1 on the importance of supply optimization in improving the value of health care delivery. We agree with the authors that reducing variability in surgical utilization can be accomplished through consolidating device vendors and integrating purchasing decisions in a way that does not inappropriately drive practice patterns. We only add a caveat that too much consolidation, for example to a single vendor, can increase risk of supply shortages and reduce the opportunity for effective price negotiations.
Thiel C, Horwitz LI. Supply Chain Optimization and Waste Reduction—Reply. JAMA. 2020;323(6):573. doi:10.1001/jama.2019.20860
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