Unbiased Analysis of Today's Healthcare Issues

Archive for February, 2017

Patient and Physician Risk Preferences

Physicians are supposed to act as agents for patients, acting in their best interest. But a question is, how well do physician know patient preferences? How well do physician preferences reflect those of patients. Previous research indicates that for terminal diseases, patients are risk loving. My own recently published research (with co-authors Schwartz, Okoro and […]

Read the rest of this entry »

“You can’t fix by analysis what you bungled by design”

This is a quote from Light, Singer, and Willet (1990) and is mentioned on a recent commentary by Stephen B. Soumerai  and Ross Koppel in Health Services Research. The commentary focuses on the use of instrumental variables when conducting health care effectiveness reserach.  They define instrumental variables concisely as: An instrumental variable (IV) is a variable, generally found in […]

Read the rest of this entry »

Innovations in Cancer Care: Capturing What Patients Value in the Calculus of Drug Costs

My current employer, Precision Health Economics, has posted an interesting research brief describing how traditional notions of value may not be capturing the full value patients receive from oncology treatments. A brief description is below but do check out the full report. As health care spending continues to rise, payers and providers struggle to accurately measure […]

Read the rest of this entry »

Special Issue on Value Assessment Frameworks

Value in Health has a Special Issue on Value Assessment Frameworks.   The issue includes one of my papers (co-authored with Taylor T. Schwartz, Tony Okoro, John A. Romley) titled Patient Versus Physician Valuation of Durable Survival Gains: Implications for Value Framework Assessments.  The abstract is below.   Background: Previous research indicates that patients value therapies that provide […]

Read the rest of this entry »

Friday Links

Outcomes-based contracting. Off the shelf CAR-T? Physician opioid prescribing. Regional variation in back surgery. Free health care?

Read the rest of this entry »

The end of “the pill”?

For years, sexually active women and men that have wanted to avoid pregnancy have used a variety of contraceptives.  From pills to condoms, there are a lot of options out there.  Now add one more to the list, and its not what you might think. Natural Cycles is an app that helps people identify the time […]

Read the rest of this entry »

Did the ACA cause industry consolidation?

The Affordable Care Act (ACA)–among other things–mandated a number of reforms to the Medicare reimbursement system.  For instance, the ACA created Accountable Care Organizations (ACOs) and bundled payment initiatives were initiatives.  If Medicare started paying providers more based on quality and total cost of care across all provider settings, one would hypothesize that industry consolidation would accelerate. […]

Read the rest of this entry »

Need health care data?

The International Society For Pharmacoeconomics and Outcomes Research (ISPOR) has put together a database of databases from around the world. The ISPOR International Digest of Databases has goal is to organize global health care databases into searchable models.  Their working group on this topic is chaired by Carl Asche and Elisabeth Oehrlein.  If you have […]

Read the rest of this entry »

Smarter deductibles?

Are high deductible health plans a good thing?  Republicans typically argue yes as they say that increased cost sharing reduces moral hazard.  That is, when people have to pay for medical care out of pocket, they don’t ask for unnecessary care or use care more frugally.  Democrats typically argue that increased cost sharing reduces demand […]

Read the rest of this entry »

Friday Links

New hope for cancer treatment? Strategic drug filling around Medicare eligibility date. Unlearning descriptive statistics. Fighting antibiotic-resistant bacteria. Cost disease.

Read the rest of this entry »