Teenage Wasteland: Paying for New Drugs and Other "Adolescent" Technologies

The debate over comparative effectiveness research has focused heavily on standards of evidence to judge the relative value of different therapies and standards for when and how conclusions should drive coverage policy. Less attention has been paid to a more fundamental question: when should the value determination be made. CMS’ top coverage official has an idea that would radically change that process.

Michael McCaughan

Everyone agrees that an ideal payment system would provide reimbursement that is commensurate with the value of the therapy. A breakthrough treatment for cancer should command a premium compared to...

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