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How Medicare Could Use Comparative Effectiveness Research In Deciding On New Coverage And Reimbursement

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Topics: Cost-effectiveness | Medicare | Rates/Reimbursement

A Health Affairs article proposes restructuring Medicare reimbursement calculations to incorporate comparative effectiveness research (CER).  The authors suggest a payment model that reimburses health services at a higher rate if CER has proved their superiority over other service options. 

Pearson, S.D. and Bach, P.B. (2010). How Medicare could use comparative effectiveness research in deciding on new coverage and reimbursement. Health Affairs, (29)10:1796-1804. doi: 10.1377/hlthaff.2010.0623 http://content.healthaffairs.org/content/29/10/1796.abstractexit disclaimer small icon

Authors: Steven D. Pearson and Peter B. Bach


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