How to point out low-value care without starting a fist fight.

A conversation with Rich Klasco, MD, facilitated by Stacey Richter on the Relentless Health Value Podcast


  • The definition of high-value care vis-à-vis appropriateness
  • The challenges of deploying high-value care, patient and physician self-serving perspectives
  • Why it takes so long for evidence to become practice (~17 years!)
  • Appropriateness and 'undertreatment'
  • Strategies for aligning stakeholders to implement appropriateness measures
  • Case study of a health plan partnering with physicians to analyze appropriateness in their practice patterns
  • Dollar savings associated with deploying Practicing Wisely™ Appropriateness of Care Measures

Rich Klasco, MD, FACEP

Chief Medical Officer, Motive Practicing Wisely

Rich Klasco, MD

Rich Klasco has focused throughout his career on rendering evidence-based medicine operational—that is, making the right thing the easy thing to do. For the past fifteen years, Dr. Klasco has served as Chief Medical Officer for Motive, where he provides clinical leadership for the development and deployment of solutions that quantitative assess physician performance for payers, providers, and patients, and integrate scientific knowledge into workflow systems where it can be accessed and applied in real-time. Dr. Klasco's experience includes:

  • Publishing extensively in both peer-reviewed journals such as JAMA and lay publications such as The New York Times
  • Teaching at leading academic medical centers including Harvard, Stanford, Mayo, and UCSF
  • Serving on the Executive Committee of Brigham and Women’s Hospital Center for Patient Safety Research and Practice
  • Testifying before the United States Congress on evidence-based practices
  • Winning CMS approval for an officially designated compendium of evidence-based oncologic drug information.

Dr. Klasco received his medical degree from Harvard Medical School. He completed his internship and residency in internal medicine at Brigham and Women’s Hospital, and he completed his residency in emergency medicine at the Denver Health Residency in Emergency Medicine, where he served as chief resident.

Listen to Podcast
Get the Case Study