FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 359:2309-2311 November 27, 2008 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Miller, J. M. PubMed Citation

The average American might assume that new medical procedures are proved beneficial before insurers pay for them. In reality, many new procedures are paid for even with no persuasive evidence of benefit. One consequence is health care expenditures that are growing substantially faster than the economy and a Medicare program projected to become insolvent in the next decade. Increased use of technology is the largest driver of this growth; its effect dwarfs that of the aging of our population. We should be able to curb these costs and increase value in health care by taking an evidence-based approach to insurance . . . [Full Text of this Article]

Source Information

Dr. Redberg is a professor of medicine at the University of California, San Francisco (UCSF), School of Medicine and director of women's cardiovascular services at the UCSF Medical Center — both in San Francisco. Dr. Walsh is a professor of clinical medicine and epidemiology at the UCSF School of Medicine.

Related Letters:

Coronary Angiography by 64-Row CT
McCulloch A. C., Paulin S., Gerard S. K., Karthikeyan G., Vorobiof G., Fogarty W. M. Jr., Lima J. A.C., Miller J. M., the CORE 64 Investigators , Walsh J., Redberg R. F.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:2027-2031, May 7, 2009. Correspondence

This article has been cited by other articles:

• Ladapo, J. A., Horwitz, J. R., Weinstein, M. C., Gazelle, G. S., Cutler, D. M. (2009). Adoption And Spread Of New Imaging Technology: A Case Study. Health Aff (Millwood) 28: w1122-w1132 [Abstract] [Full Text]  
• Shaw, L. J., Min, J. K., Budoff, M., Gransar, H., Rozanski, A., Hayes, S. W., Friedman, J. D., Miranda, R., Wong, N. D., Berman, D. S. (2009). Induced cardiovascular procedural costs and resource consumption patterns after coronary artery calcium screening: results from the EISNER (Early Identification of Subclinical Atherosclerosis by Noninvasive Imaging Research) study.. J Am Coll Cardiol 54: 1258-1267 [Abstract] [Full Text]  
• Dewey, M., Zimmermann, E., Deissenrieder, F., Laule, M., Dubel, H.-P., Schlattmann, P., Knebel, F., Rutsch, W., Hamm, B. (2009). Noninvasive Coronary Angiography by 320-Row Computed Tomography With Lower Radiation Exposure and Maintained Diagnostic Accuracy: Comparison of Results With Cardiac Catheterization in a Head-to-Head Pilot Investigation. Circulation 120: 867-875 [Abstract] [Full Text]  
• Messori, A., Trippoli, S., Bonacchi, M., Sani, G. (2009). Left ventricular assist device as destination therapy: application of the payment-by-results approach for the device reimbursement.. J. Thorac. Cardiovasc. Surg. 138: 480-485 [Abstract] [Full Text]  
• Bretthauer, M. (2009). The Capsule and Colorectal-Cancer Screening -- The Crux of the Matter. NEJM 361: 300-301 [Full Text]  
• Dhruva, S. S., Phurrough, S. E., Salive, M. E., Redberg, R. F. (2009). CMS's Landmark Decision on CT Colonography -- Examining the Relevant Data. NEJM 360: 2699-2701 [Full Text]  
• Meijboom, W. B., Meijs, M. F.L., Schuijf, J. D., Cramer, M. J., Mollet, N. R., van Mieghem, C. A.G., Nieman, K., van Werkhoven, J. M., Pundziute, G., Weustink, A. C., de Vos, A. M., Pugliese, F., Rensing, B., Jukema, J. W., Bax, J. J., Prokop, M., Doevendans, P. A., Hunink, M. G., Krestin, G. P., de Feyter, P. J. (2009). Reply. J Am Coll Cardiol 53: 1825-1826 [Full Text]  
• McCulloch, A. C., Paulin, S., Gerard, S. K., Karthikeyan, G., Vorobiof, G., Fogarty, W. M. Jr., Lima, J. A.C., Miller, J. M., the CORE 64 Investigators, , Walsh, J., Redberg, R. F. (2009). Coronary Angiography by 64-Row CT. NEJM 360: 2027-2031 [Full Text]  
• Hlatky, M. A. (2009). Evaluating use of coronary computed tomography angiography in the emergency department.. J Am Coll Cardiol 53: 1651-1652 [Full Text]  
• Min, J. K., Berman, D. (2009). Anatomic and Functional Assessment of Coronary Artery Disease: Convergence of 2 Aims in a Single Setting. Circ Cardiovasc Imaging 2: 163-165 [Full Text]  
• Iglehart, J. K. (2009). Health Insurers and Medical-Imaging Policy -- A Work in Progress. NEJM 360: 1030-1037 [Full Text]  
• Gerber, T. C., Taylor, A. J. (2009). Carotid Intima-Media Thickness: Can It Close the "Detection Gap" for Cardiovascular Risk?. Mayo Clin Proc. 84: 218-220 [Full Text]  
• (2008). Accuracy of Coronary CT Angiography. JWatch General 2008: 3-3 [Full Text]  
• (2008). Coronary Computed Tomography: Still Searching for a Reason to Believe. Journal Watch Cardiology 2008: 1-1 [Full Text]