Efforts to reduce overuse of health care services run counter to the dominant financial incentives in our fee-for-ser-vice system, challenge the cultural assumption that more is better, and raise concerns about stinting on necessary care. Given the evidence that as much as one third of U.S. health care spending is wasteful, however, health care organizations are now embracing explicit consideration of value and turning their attention to overuse. Reducing overuse could theoretically improve quality while slowing spending growth. But we need to determine whether current policy tools - which were designed to address underuse - will work to reduce overuse.
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