Comparative Effectiveness Research and the Environment for Health Care Decision-Making

During the last five years, there has beenenormous changes in the health care environment: the implementation of the Affordable Care Act and its many provisions, including the creation of PCORI; the development of health exchanges and a move toward value-based payments, most notably in Medicare programs. In the midst of all this change, what impact will comparative effectiveness research have on health care decision-making?

For the last five years the National Pharmaceutical Council has conducted an annual survey that provides a snapshot of health care stakeholders’ perceptions of the key players involved in the comparative effectiveness research (CER) process, from setting priorities to translating and disseminating the research findings.

A few survey findings have become clearer with each year: CER is important, the Patient Centered Outcomes Research Institute (PCORI) is the dominant player in this space, and the goalposts...

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