Unbiased Analysis of Today's Healthcare Issues

Archive for March, 2017

Links

Economics isn’t everything. Do airline classes reduce prices? Tiered pharmacies in California? More drug pricing transparancy. Cure for sepsis. Narrow networks.

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Drug approval and reimbursement when clinical trials use surrogate endpoints

An interesting paper from some of my colleagues at Precision Health Economics: Approval of new drugs is increasingly reliant on “surrogate endpoints,” which correlate with but imperfectly predict clinical benefits. Proponents argue surrogate endpoints allow for faster approval, but critics charge they provide inadequate evidence. We develop an economic framework that addresses the value of […]

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An AHCA Edition of the HWR is up

Louise Norris has posted The AHCA: The Aye or Nay? Edition of the Health Wonk Review at Colorado Health Insurance Insider and it couldn’t be timelier. It’s not only the AHCA’s moment to shine (or stink depending on your perspective), but it is also the 7th anniversary of the enactment of the ACA, as Louise notes in […]

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How the AHCA will affect the Federal Budget

On the positive side, the American Health Care Act (AHCA) will decrease the federal budget deficit due largely to reductions in Medicaid spending and subsidies for the Health Insurance Exchanges enacted by the Affordable Care Act (ACA).  On the other hand, the AHCA will greatly increase the number of people without health insurance. Federal Spending […]

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Lessons from Obamacare: Comments on Vox’s article

Sarah Kliff and Ezra Klein and Ezra Klein of Vox have an interesting article on “The Lessons of Obamacare“.   I list the lessons below from the article and discuss whether I agree or disagree with the statement and why. Lesson 1: Everything in health care is a painful trade-off. Own it. Agree.  The authors provide a […]

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Quotation of the Day: Innovation

“Creativity is thinking up new things. Innovation is doing new things.” Thomas Leavitt.

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Innovative Cancer Care models

What does CMS consider to be innovative oncology care?  The following three programs won a CMS Health Care Innovation Award for their initiative. Community Oncology Medical Home (COME HOME).  This model relied on three key principles: (i) triage pathways to help first responders and nurses identify and manage patient symptoms; (ii) enhanced access to care through […]

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Friday Links

VBID and medication adherence. eConsult. Do drugs reduce ED use during pregnancy? Mindfulness and managed care. Looming cuts to NIH.

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Does tort reform harm innovation?

The answer appears to be yes according to an NBER working paper by Galasso and Luo: We find that, on average, laws that limit the liability exposure of healthcare providers are associated with a significant reduction in medical device patenting and that the effect is predominantly driven by innovators located in the states passing the […]

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EMR Adoption: Not what you might expect

Are urban or rural physician practices more likely to adopt electronic medical records (EMR)?  The answer is suprrising.  A paper by Whitacre (2016) finds the following: Overall practice-level EMR adoption rates generally increase with the degree of rurality and range from 47 percent in the most urban counties to over 60 percent in the most […]

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