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Value-based Health Care

Moving Beyond “Minimum Clinically Important Difference” to a Tiered System of Evaluating Successful Clinical Outcomes

Bernstein, David N., MBA, MA; Nwachukwu, Benedict U., MD, MBA; Bozic, Kevin J., MD, MBA

Clinical Orthopaedics and Related Research®: May 2019 - Volume 477 - Issue 5 - p 945–947
doi: 10.1097/CORR.0000000000000741

D. N. Bernstein, University of Rochester Medical Center, Rochester, NY, USA

B. U. Nwachukwu, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA

K. Bozic, Chair, Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, Austin, TX, USA

K. J. Bozic MD, MBA Dell Medical School at the University of Texas at Austin, 1601 Trinity St. Bldg B, Austin, TX 78701 USA, Email:

A note from the Editor-in-Chief: We are pleased to present to readers of Clinical Orthopaedics and Related Research® the latest Value-based Healthcare column (formerly Orthopaedic Healthcare Worldwide). Value-based Healthcare explores strategies to enhance the value of musculoskeletal care by improving health outcomes and reducing the overall cost of care delivery. We welcome reader feedback on all of our columns and articles; please send your comments to .

One author (KJB) certifies that he, or a member of his immediate family, has received or may receive payments or benefits as a consultant, during the study period, an amount of USD (USD 10,000 to USD 100,000) from The Centers for Medicare & Medicaid Services (Baltimore, MD, USA).

The coauthors (DNB and BUN) certify that they, or any members of their immediate families, have no commercial associations (such as consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request.

The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Received March 04, 2019

Accepted March 05, 2019

© 2019 Lippincott Williams & Wilkins LWW
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