Will value-based pricing be coming to the U.S.?

The answer may be yes.  One of the big inpediments to value-based pricing of pharmaceuticals was that any discount given to any single organization based on outcomes needed to be reflected in the Medicaid price.  Since outcomes are subject to random noise, there will inevitably be health plans that end up getting a low price due to worse than expected…

Sounds like a good idea?

Kaiser’s family of website has some interesting posts of late.  The Kaiser Family Foundation presents 10 Essential Facts about Medicare Prescription Drug Spending.  They show the increasing price of U.S. prescription drugs spending over time. They also show that many patients with Medicare Part D, still bear a large share of prescription drug costs for…

Discrete Choice Experiments: Best Practices

What is the difference between a conjoint analysis and a discrete choice experiement? ISPOR’s guidelines provide some information. “Conjoint analysis” is a broad term that can be used to describe a range of stated-preference methods that have respondents rate, rank, or choose from among a set of experimentally controlled profiles consisting of multiple attributes with varying…

Children and Cost-Benefit Analysis

Alan Balch, PhD, discusses the Institute for Clinical and Economic Review’s (ICER’s) Value Assessment Framework tool that aims to provide stakeholders in healthcare with evidence to make more informed decisions regarding new cancer therapies. Dr Balch also considers limitations to the tool’s effectiveness. Plus, he even discusses why if we lived life using a strict…

Quality of Life and Prospect Theory

Prospect theory states that individuals view transactions relative to a fixed reference point.  Individuals are risk averse for gains (i.e., they would prefer $10 for sure over a 50/50 of winning $0 or $20) but risk loving over losses (i.e., they would prefer a 50/50 ‘lottery’ of losing $0 or $20 over a sure loss of $10.…

Paging Dr. Watson

In the future, will your recommended cancer treatment be decided by a computer?  That is what IBM hopes with the launch of their Watson for Genomics project.  CNET reports: Typically, finding the appropriate treatment for a specific patient means sequencing his or her genome — the complete DNA structure packed into a single cell —…