Medicare's coverage of colorectal cancer drugs: A case study in evidence development and policy

被引:22
作者
Carino, Tanisha [1 ]
Williams, Reginald D., II [1 ]
Colbert, Allison M. [1 ]
Bridger, Perry [1 ]
机构
[1] Avalere Hlth LLC, Washington, DC USA
关键词
D O I
10.1377/hlthaff.25.5.1231
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Payers point to the lack of unbiased evidence for making coverage decisions for new and often costly technologies. This paper provides a case study of a new approach to developing information to meet the needs of a payer: Medicare's coverage with evidence development (CED) policy. Medicare's decision to condition coverage of cancer therapies on clinical trial participation is an early application of CED and signals Medicare's interest in developing evidence on new technologies for beneficiaries. This paper reviews the rationale and challenges Medicare faces in applying its CED policy and discusses the implications of payers' using and generating evidence.
引用
收藏
页码:1231 / 1239
页数:9
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