Economist
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Part 1 – Healthcare Economist
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CMS launched Guidance on Negotiating IRA Prices last week. Below are some highlights on how medications will be selected. What medications are eligible ...

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Risk Adjustment and Incentives for Upcoding in Medicare – Healthcare Economist
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To account for differences in disease burden among the patient population of Medicare Advantage (MA) plans, risk adjustment based on the patient's disease ...

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What would happen if we eliminated medical debt? – Healthcare Economist
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Medical debt in the United States is a major problem. While more than 90% of people have health insurance, many people ...

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FDA’s Biosimilars Action Plan – Healthcare Economist
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In July 2018, the FDA published the Biosimilars Action Plan (BAP), which outlined the FDA's approach to expanding access ...

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Do patients value improvements in progression-free survival? – Healthcare Economist
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Progression-free survival (PFS) is a surrogate endpoint defined as follows (by ChatGPT): Essentially, PFS refers to the period of time during a ...

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EMA and delays in drug launch – Healthcare Economist
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For patients with serious illnesses, timely access to effective medications is paramount. The European Medicines Agency (EMA) was created in part to help ...

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Cross-country comparison in health care price growth: 2000-2020 – Healthcare Economist
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How have health care prices changed over the past two decades? That is the question of an article by Pap smears (2024) aims to answer, comparing US prices ...

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An overview – Healthcare Economist
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an article of Kogut (2024) has a good overview of organizations that develop pharmacy plan quality metrics. The quality of pharmacy plans is vital as ...

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Considerations in payer coverage of digital therapeutics – Healthcare Economist
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The Digital Therapeutics Alliance defines a digital therapeutics (DTx) as “evidence-based therapeutic interventions ...

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Daniel Kahneman – Healthcare Economist
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Today Nobel Prize winner Daniel Kahneman passed away. His work incorporates psychology into economics through Possible theory It has been a great advance. ...

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