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Respiratory News:

How accurate are budget impact models at the national level?

That is the question of interest of a new study by Snider et al. (2018) in Value in Health.  The authors use six reviews by the Institute for Clinical and Economic Review (ICER) that forecast the likely national spend on specific drugs or drug classes as case studies.  Their study compares these forecast to subsequent…...


Is Medicare delivering consistent messages to hospitals on quality?

An interesting descriptive analysis by Meddings et al. (2018) finds that CMS is delivering somewhat different messages on quality based on whether the message is conveyed to patients (via Hospital Compare) or to hospitals directly (via the hospital readmissions reduction program [HRRP]).  They find the following: Of the 2956 hospitals that had publicly reported HF…...


Holiday HWR

Peggy Salvatore has posted Have a Holly, Jolly Health Wonk Holiday from Health Wonk Review at  Health System Ed Blog.  Check it out!...


The end of Obamacare?

As reported in NPR: A federal judge in Texas issued a ruling Friday declaring the Affordable Care Act unconstitutional, apparently setting the stage for another hearing on the health care law by the U.S. Supreme Court. The ruling by U.S. District Judge Reed O’Connor invalidates what’s commonly referred to as Obamacare nationwide, and casts into…...


What evidence does NHS need for reimbursement of digital health technologies?

This week, the UK’s National Health Service (NHS) and National Institute for Health and Care Excellence (NICE) released a document titled Evidence standards framework for digital health technologies.  An accompanying piece in The Lancet by Greaves et al. (2018) aims to describe the goals of the document at a high level. The authors state that key…...


ACA Individual Market and State Re-insurance programs

A number of states have re-insurance programs to support the Affordable Care Act (i.e., Obamacare) marketplaces in the individual and small group markets.  Re-insurance occurs when the state offers to pay a percentage of patient costs if they exceed some threshold.  This may lead you to ask a number of reasonable questions.  For instance: Why…...


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