Question special
Lead Moderator

Thank you for all the responses and comments over the past few days. I would like to follow up on the theme of evidence based medicine.

Could you please share how we could draw lines between high value and low value services? What is the level of evidence needed to make these determinations and is there a broad definition we can abide by?

If an insurer was to make a decision to cover a set of high value services but not low value services and asked your opinion on how to make determinations, what would be your overall recommendation?