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Implications of cost in treatment selection for patients with coronary heart disease.
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Abstract
The growth of managed care and other types of capitated payment systems for medical care has forced cost into the therapeutic equation. The benefits of treatment must now be balanced against their costs. Clinicians are being challenged to prove that what they do has sufficient "value." Particular targets for these challenges are surgeons and interventional cardiologists who, in aggregate, perform expensive high-volume procedures.