Posts Tagged “Comparative Effectiveness”
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2012 Potpourri XXXIV
by Kevin Roche on Friday, November 9, 2012
Thank God the election is finally over, but our Potpourri is never-ending, this week bringing you the latest on why comparative effectiveness research results don’t translate to practice, innovations to reduce health spending, the value of medication adherence, factors related to end-of-life quality and MedPAC on new quality measures for avoidable hospital and ER use.
Tags: Comparative Effectiveness, Drugs, End-of-Life Care, Health Care Costs, Health Care Quality, Hospital, Medicare
2012 Potpourri XIII
by Kevin Roche on Friday, April 13, 2012
Our latest Potpourri features the comparative cost of cancer care in the US and elsewhere, the effect of genomics on spending, international practice guidelines, state Medicaid waivers, unintended consequences from patient satisfaction efforts and county health rankings.
Tags: Comparative Effectiveness, Consumers, Health Care Costs, Health Care Quality, Medicaid, Medical Care, Pay For Performance
2012 Potpourri X
by Kevin Roche on Sunday, March 25, 2012
Spring is in the air but take a few minutes to refresh with our latest Potpourri, which includes the Congressional Budget Office’s latest health reform projections, ER use by those with Medicaid or private insurance coverage, the effect of selective outcomes reporting in research, an AonHewitt survey of employers on exchange use, another CBO report on employer incentives for use of TriCare and physician costs to comply with quality mandates.
Tags: Care Management, Comparative Effectiveness, Consumers, Employers, Health Care Costs, Health Care Quality, Health Care Reform, Health Insurance Exchanges, Medicaid, Physicians
Outcomes Research Priorities
by Kevin Roche on Wednesday, February 1, 2012
One creation of the federal reform law was the Patient Centered Outcomes Research Institute. The Institute has released a draft of its proposed priorities for research, available for comment by the public. It is sure to stir much discussion among affected audiences.
Bundled Payments
by Kevin Roche on Tuesday, December 13, 2011
Another excellent draft report from the Agency for Healthcare Research and Quality reviews the evidence related to the effects of bundled payments to providers on quality and costs. The evidence, while weak, suggests that utilization and costs decline and quality is not notably affected in either direction.
Tags: Bundled Payments, Comparative Effectiveness, Health Care Costs, Health Care Quality
Shared Decision Making
by Kevin Roche on Monday, October 10, 2011
A new paper discusses the state of shared decision-making, illuminating progress and barriers to use by patients and providers. This approach results in higher-quality care, because it is consistent with patient values and with truly informed patient consent and it may also help reduce spending.
Tags: Comparative Effectiveness, Consumers, Health Care Costs, Health Care Quality, Physicians, shared decision-making
2011 Potpourri XXXIX
by Kevin Roche on Friday, October 7, 2011
October already!! Our 39th Potpourri of the year has many autumnal pleasures including selections on CMS’ Comprehensive Primary Care Initiative, a proposed guidance for FDA to use for mHealth regulation, end-of-life care discussions, CMS’ multi-payer database award, expected 2012 medical trend, and delivery of unnecessary care by doctors.
Tags: Care Management, Comparative Effectiveness, End-of-Life Care, FDA, Health Insurance, HIT, medical home, Medicare, Physicians, Telemedicine
Medicare’s Coverage Determination Process
by Kevin Roche on Wednesday, September 28, 2011
As Medicare pays more and more of the nation’s total health bill, its decisions on what products and services it will reimburse for are more significant for vendors and for the growth of the overall health bill. A new RWJ brief examines that coverage process and recommends changes.
2011 Potpourri XXXIV
by Kevin Roche on Friday, September 2, 2011
A dazzling review of recent research and other health related nuggets is presented in this latest Potpourri, including potential problems with evidence-based medicine, physician dilemmas in controlling cost, workers’ compensation medical costs, reducing hospital infections, improving heart attack care and the growth of CDHPs.
Tags: Comparative Effectiveness, Consumers, Health Insurance, Hospital, Medical Care, Physicians, Workplace
Review of Care Management Research
by Kevin Roche on Thursday, August 18, 2011
The Agency for Healthcare Research & Quality released a report on the Comparative Effectiveness of Case Management for Adults with Medical Illness and Complex Care Needs. This metareview found limited evidence for positive effects of any care management intervention.
Tags: Care Management, Chronic Disease, Comparative Effectiveness, Elder Care
2011 Potpourri XXVIII
by Kevin Roche on Friday, July 22, 2011
The dog days of summer bring yet another scorching hot Potpourri with a smorgasbord of data, including metabias in randomized clinical trials, the practice of defensive medicine, the status of HIEs, retail pharmacy drug costs and pricing and spending on medical devices.
Tags: Comparative Effectiveness, Devices, Drugs, HIT, Malpractice, Meaningful Use, Medicaid, Medicare, Physicians
How England’s NICE Works
by Kevin Roche on Wednesday, June 29, 2011
Two articles describe in detail how Britain’s NICE operates in creating guidelines and conducting cost-effectiveness reviews. The process is highly transparent and professional, and while the institution has taken criticism for some of its decisions, its role is extremely important.
Tags: Comparative Effectiveness, Health Care Costs, Health Care Quality
More Data Available from CMS
by Kevin Roche on Thursday, June 9, 2011
CMS has proposed a rule to implement a PPACA provision allowing access to extracts of provider-level Medicare data to evaluate performance, primarily on quality measures. This is a good first step, but just a first step in being able to completely profile physician practice patterns.
Tags: Comparative Effectiveness, Health Care Costs, Health Care Quality, Medicaid, Medicare, Providers
2011 Potpourri XXI
by Kevin Roche on Friday, May 20, 2011
Once more into the world of health care to find nuggets of useful information, this week including the legality of wellness programs, the switch to ICD-10, pragmatic trials, the status of the workers’ comp industry, consumer health care sentiment, and hospital ER strategies.
Tags: Comparative Effectiveness, Consumers, Health Care Costs, HIT, Hospital, Wellness and Prevention, Workplace
Evidence and Guidelines for Care
by Kevin Roche on Tuesday, May 17, 2011
An editorial in the Journal of Managed Care Pharmacy illustrates common pitfalls in creating guidelines based on certain kinds of research and explains why cause and effect can often be wrongly inferred in the absence of randomized trials.
Tags: Care Management, clinical research, Comparative Effectiveness, Drugs
2011 Potpourri VIII
by Kevin Roche on Friday, February 18, 2011
The year wears on, winter hopefully draws to a close, and our Potpourri provides nutritious sustenance, this week featuring comparative effectiveness research and personalized medicine, two surveys on hospital progress in implementing EHRs, a patient-centered vision of HIT, the validity of care guidelines, and the use of clinical decision support to control inappropriate imaging.
Tags: Comparative Effectiveness, Consumers, Health Care Quality, HIT, Hospital, Medical Care, Personalized Medicine
Spreading Medical Knowledge
by Kevin Roche on Thursday, January 27, 2011
An article in Health Affairs discusses the important topic of disseminating new medical and health care knowledge to physicians and other providers, in this case specifically in regard to comparative effectiveness. Many barriers exist to widespread use of new knowledge and additional techniques are needed to maximize such use.
Tags: Comparative Effectiveness, Health Care Quality, Medical Care, Physicians
The Latest on Comparative Effectiveness Research and Care Guidelines
by Kevin Roche on Friday, May 28, 2010
The stimulus bill and the health reform law provide a substantial uptick in funds for research to evaluate the best methods of treating diseases and organizing health services. Several recent publications address various aspects of comparative effectiveness research.
2010 Potpourri VI
by Kevin Roche on Saturday, February 20, 2010
Select from this menu of topics on health improvement incentives, genetic testing for cancer treatment, health plan collaboration on use of IT for administration, value-based insurance design and comparative effectiveness research.
Tags: Comparative Effectiveness, Health Insurance, HIT, Personalized Medicine
2010 Potpourri IV
by Kevin Roche on Saturday, February 6, 2010
Yet another sampling of health care items, relating to personalized medicine, telemedicine, wellness, disease management and using health data for comparative effectiveness research.
Tags: Care Management, Comparative Effectiveness, Personalized Medicine, Telemedicine, Wellness and Prevention
More Breast Cancer Screening Controversy
by Kevin Roche on Thursday, January 28, 2010
The recommended schedule for mammography screenings to detect breast cancer is examined in a Cochrane report, which finds that the current recommendation probably leads to overdiagnosis and treatment and the women are not being properly presented with the overall risks and benefits.
Tags: Comparative Effectiveness, Health Care Costs, Health Care Quality, Wellness and Prevention
ECRI Advises Plans on Top Technologies for 2010
by Kevin Roche on Thursday, November 19, 2009
The ECRI Institute released a report advising payers on technologies to watch for in 2010, including genetic testing, imaging technologies, orthopedic devices and EHRs and PHRs. Most are very expensive but their comparative benefits or risks have not been proven in clinical trials.
Weekend Potpourri III
by Kevin Roche on Saturday, November 7, 2009
Yet another installment of the weekend health care miscellany that you are undoubtedly growing fond of.
Tags: Comparative Effectiveness, Health Care Reform, Medical Care, Personalized Medicine
Comparative Effectiveness and Personalized Medicine
by Kevin Roche on Tuesday, November 3, 2009
The Lewin Group has issued a report on comparative effectiveness research and personalized medicine, indicating the need for integration of the latter into the former.
Tags: Comparative Effectiveness, Medical Care, Personalized Medicine
How NICE
by Kevin Roche on Wednesday, October 7, 2009
A Nature article explains how Britain’s NICE (National Institute for Health and Clinical Excellence) works.
How Comparative Effectiveness Research Can Increase Costs
by Kevin Roche on Monday, September 28, 2009
A recent drug trial illustrates how comparative effectiveness research may actually facilitate more health care spending.
Tags: Comparative Effectiveness, Drugs, Medical Care, Pharmaceutical
A Good Summary on Comparative Effectiveness Research
by Kevin Roche on Wednesday, September 16, 2009
The Rand Corporation has produced a useful summary of information regarding comparative effectiveness research’s potential.
An Example of the Value of Comparative Effectiveness Research
by Kevin Roche on Friday, September 4, 2009
Research indicates that laparoscopic nerve ablation for chronic pelvic pain is ineffective.
Vertebral Fracture Treatment Studies
by Kevin Roche on Thursday, August 6, 2009
Two studies question the value of a vertebral fracture treatment, but more importantly show the utility of comparative effectiveness research.
Tags: Care Management, Comparative Effectiveness, Medical Care
Comparative Effectiveness Updates
by Kevin Roche on Thursday, July 9, 2009
A number of reports and commentaries have recently been issued on comparative effectiveness research.
Tags: Comparative Effectiveness, Government, Health Care Reform, Health Insurance
More Required Reading from the CBO
by Kevin Roche on Monday, June 22, 2009
The CBO’s June 16th letter to Senator Conrad is an excellent summary of health reform and cost control ideas and implementation issues.
Tags: CBO, Comparative Effectiveness, Government, Health Care Costs, Health Care Reform, Health Insurance
Republicans Take on Comparative Effectiveness Research
by Kevin Roche on Wednesday, June 17, 2009
Republican Senators have now introduced a bill to essentially gut federal funding or use of comparative effectiveness research, continuing an attack on the proposed expansion of such research for the purpose of controlling costs
Tags: Comparative Effectiveness, Government, Health Care Reform, Medical Care
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