This report from the Institute of Medicine prioritizes one hundred potential topics and research questions for comparative effectiveness research. While Continue reading
Improving Quality and Containing Costs
One the more controversial concepts in contemporary health care policy is comparative effectiveness research (CER). This research attempts to directly compare the effectiveness of different treatments and interventions for various diagnoses and conditions. For example, when a woman is diagnosed with breast cancer, what is her best choice for treatment – surgery, chemotherapy, radiation, or a combination of all three? In what sequence and what dosage? The attention to comparative effectiveness research was significantly raised when $1.1 billion was made available to support CER in the American Recovery and Reinvestment Act.
The concern is that this research will be used to deny coverage or payment for certain treatments or interventions, or otherwise “ration” health care services. Accordingly, the Patient Protection and Affordable Care Act no longer used the term “comparative effectiveness research” and instead established the Patient-Centered Outcomes Research Institute.
I have compiled some key background documents on the $1.1 billion being invested in CER as well as some policy analyses of what implications comparative effectiveness research might have for health care quality improvement and cost containment.
This federal coordinating council for comparative Effectiveness research was convened to provide federal government-wide input and guidance into the $1.1 Continue reading
This is the spending plan from the National Institutes of Health on comparative effectiveness research from the American Recovery and Continue reading
This is the spending plan from the Agency for Healthcare Quality and Research (AHRQ) for comparative effectiveness research funds from Continue reading
This is the spending plan from the Office of the Secretary for comparative effectiveness research funds available through the American Continue reading
This Robert Wood Johnson Foundation -Health Affairs policy brief is an updated analysis of comparative effectiveness research, discussing both the Continue reading
This issue brief from the Kaiser Family Foundation examines the importance of comparative efffectiveness research as a key to quality Continue reading
This policy analysis from the National Institute for Health Care Reform focuses on the opportunities for medical advances through comparative Continue reading