The Washington Health Alliance (WHA) released a report last week suggesting that over 45% of health care services delivered in Washington State were low-value. The low-value services stemmed largely from the overuse of services in low-risk populations, like screening for cervical cancer more frequently than recommended. The report estimated the cost of unnecessary spending on the low-value treatments and procedures at $282 million. The WHA, a local organization, recommends that physicians and patients have conversations about appropriate medical care that is both necessary and evidence-based, and suggests that patients ask the following five questions before having a medical test or procedure:

1. Do I really need this test or procedure?
2. What are the risks and side effects?
3. Are there simpler, safer options?
4. What happens if I don’t do anything?
5. How much does it cost, and will my insurance pay for it?