Unbiased Analysis of Today's Healthcare Issues

Archive for May, 2017

Prior authorization and opioid abuse

An interesting article by Cochran et al. (2017) examines whether health plan prior authorization rules can help prevent opioid abuse.  The authors use Pennsylvania Medicaid data from 2010 to 2012.  The data included both fee-for-service and managed care enrollees. The authors measured opioid abuse based on diagnosis codes for opioid use disorder (304.0, 304.00, 304.01, […]

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Predicting Real-World Effectiveness of Cancer Therapies Using OS and PFS Clinical Trials Endpoints

Clinical trials for cancer treatments aim to demonstrate whether one treatment is better than another. What is of most interest to patients, providers and payers, however, is which treatment works best in the real-world, not in a randomized controlled trial. Further, clinical trials often use progression free survival to measure treatment outcomes rather than overall […]

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Links

Is big data eclipsing RCTs? Interview with Raj Chetty. Pink boxes in LA. Immunotherapy and precision medicine. The cost of high-risk pools.

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“We are not going to let the fact there are not additional monies right now to prevent us from offering these additional services”

That is what Veterans Affairs Secretary David Shulkin said about his plan to expand urgent mental health care to thousands of veterans.  Specifically, the Shulkin plan would include mental health services for service members with less-than-honorable discharges. As reported in Modern Healthcare, Shulkin testified to Congress that of the 20 veterans who take their lives each day, about 14 […]

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Value Tools in Managed Care Decision Making

Along with co-authors Jeremy Schafer and Dominic Galante, I have a new paper out in JMCP this month.  The abstract is below, but do read the whole piece here. BACKGROUND: Organizations such as the National Comprehensive Cancer Network, American Society of Clinical Oncology, Institute for Clinical and Economic Review, and Memorial Sloan Kettering have created […]

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Highlights from the 2017 ISPOR Conference

Over the past few days, I have been attending the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) 2017 Annual Conference in Boston. The session had a number of interesting presentations. While I was not able to catch them all, below are links to a few highlights. Darius Lakdawalla, Defining and Measuring Value in Healthcare […]

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Do the US and UK health care systems have anything in common?

The United Kingdom’s National Health Services provides universal health coverage at not cost to patients.  On the other hand, in the U.S. not all people have insurance, and further insurance can be provided by public entities (e.g., Medicare, Medicaid), private and employer-provided health insurance, and other sources.  Whereas the NHS system is highly centralized, the U.S. […]

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Tackling Antimicrobial Resistance

O’Neill Commission has identified a number of recommendations to tackling drug-resistant infections. Seth Seabury and Neeraj Sood have their own thoughts on how to incentivize the development of antibiotics to fight antimicrobial resistance (AMR) which they describe in an interesting article in the Health Affairs blog. They write: The US patent system incentivizes innovation by […]

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Friday Links

Nocebo effect. AppleWatch can detect AFib. Canada to the US: We are not your drugstore. Senate on AHCA: “The House bill isn’t going to pass over here.” NHS docs: Max 1% raise until 2020.

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“I will build a great Health Wonk Review . . . and nobody builds Health Wonk Reviews better than me, believe me.”

Although we have already passed the 100 day mark since Donald Trump took office, this will be my first time hosting the Health Wonk Review. In this Trump-themed edition, we take the man at his word. We not only identify some of the best health care posts on the internet, but we also organize them based […]

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