LONDON, April 26, 2016 /PRNewswire/ — Published recently in US Ophthalmic Review, the peer-reviewed journal from touchOPHTHALMOLOGY, Cynthia Matossian and Joseph C Noreika discusses Current trends and recent legislative changes that have increased the pressure to control healthcare costs, especially those associated with running ophthalmic practices. These factors have driven practice consolidation, reduced consultation times, increased use of electronic health record systems, and encouraged more meaningful use of technology. At the same time, patient expectations and standards of clinical care are both rising. This climate could discourage investment in new technology and encourage increased intensity of service, with higher patient throughput at the risk of decreased quality of care. This situation emphasizes the traditional value proposition model in which quality, time, and cost are closely interrelated; decreasing time and/or cost negatively affects quality.