Friday Links
Outcomes-based contracting. Off the shelf CAR-T? Physician opioid prescribing. Regional variation in back surgery. Free health care?
Unbiased Analysis of Today's Healthcare Issues
Outcomes-based contracting. Off the shelf CAR-T? Physician opioid prescribing. Regional variation in back surgery. Free health care?
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…
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.…
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…
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…
New hope for cancer treatment? Strategic drug filling around Medicare eligibility date. Unlearning descriptive statistics. Fighting antibiotic-resistant bacteria. Cost disease.
That is the title of an article in Eye for Pharma which interviews me about measuring value in health care. The article highlights a number of issues related to value measurement, health policy and the healthcare marketplace. The article also describes the launch of the Innovation and Value Initiative, a broad coalition of providers, payers, patient advocates,…
This is the question asked by a study conducted by Brogen et al. (2017). To see how payers use patient reported outcomes (PRO) in oncology, the authors conducted a literatures search, and searched the websites of the following health technology assessment bodies: Pharmaceutical Benefits Advisory Committee (PBAC) in Australia, Canadian Agency for Drugs and Technologies…
An interesting paper by Graves and Nikpay (2017) look at the evoluation of the health insurance market before and after Obamacare. The authors find We found that the ACA’s unprecedented coverage changes increased transitions to Medicaid and nongroup coverage among the uninsured, while strengthening the existing employer-sponsored insurance system and improving retention of public coverage.…
Medicare’s cost are growing due to an aging population, technological advances, and other factors. One of those factors may be upcoding that is occurring among Medicare Advantage plans. Rick Kronick writes in Health Affairs that: Over the past decade, the average risk score for Medicare Advantage (MA) enrollees has risen steadily relative to that for fee-for-service…