That definitely increases outcomes and QALY but it only is cost neutral or saves costs if you also more tightly ration low-cost-effectiveness care down the road

That definitely increases outcomes and QALY but it only is cost neutral or saves costs if you also more tightly ration low-cost-effectiveness care down the road that ends up usually being near end-of-life, which is where A LOT of current spending is. This is rational on a broad social level but is very difficult of a change to implement.