Achieving sustainable healthcare cost containment in the United States: the role of collaborative efforts among stakeholders
Level 5 - mechanism / opinion, no new human data
Narrative review and policy analysis without empirical data or systematic review methodology (graded by design analogy)
OpenAlex W4407193890 · doi:10.1007/s44250-025-00188-9
What was done
The authors conducted a conceptual policy analysis examining US healthcare spending trends and potential cost-containment strategies. The analysis is framed through seven domains of Value-Based Health Care (VBHC): Integrated Practice Units, Outcomes and Cost Measurement, Value-Based Reimbursement, Regional Systems Integration, Geography of Care, Information Technology/Artificial Intelligence, and Enabling Policy and Institutions.
What was found
The abstract reports that US healthcare spending reached $4.5 trillion in 2022 (a 4.1% annual growth rate) and is projected to grow by 5.4% annually from 2022 to 2031, exceeding projected GDP growth (4.6%). This trajectory would increase healthcare's share of US GDP from 18.3% in 2021 to 19.6% in 2031. The abstract presents no empirical metrics or effect sizes evaluating specific interventions, discussing collaborative initiatives, preventive care, and evidence-based guidelines in qualitative terms.
Why it matters
It organizes proposed healthcare cost-containment mechanisms into an established value-based healthcare framework to illustrate how multi-stakeholder collaboration could address rising national health expenditures.
Limits
The work is a descriptive narrative framework rather than an empirical study or systematic review. It lacks primary clinical or economic data, comparator groups, statistical testing, and quantitative evaluations of the proposed interventions.
Cited by
- supports The United States has an annual healthcare expenditure of approximately 5 trillion dollars.