Central to US Congressional and Administration efforts to reform health care is a renewed focus on “investment in prevention and wellness.”1 Translating that commitment to investing in preventive care into improved health will require a strategy for separating effective prevention from that which is ineffective or even harmful, and aligning payment strategies with practices supported by the best evidence. However, existing federal and private insurance coverage does not adequately support the delivery of clinical preventive services associated with improved quality of life and reduced premature mortality.
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