메뉴 건너뛰기




Volumn 119, Issue 2, 2015, Pages 156-163

Medicare's use of cost-effectiveness analysis for prevention (but not for treatment)

Author keywords

Cost effectiveness; Evidentiary standards; Medicare; Prevention

Indexed keywords

PNEUMOCOCCUS VACCINE;

EID: 84922761554     PISSN: 01688510     EISSN: 18726054     Source Type: Journal    
DOI: 10.1016/j.healthpol.2014.11.012     Document Type: Article
Times cited : (22)

References (76)
  • 4
    • 84922803368 scopus 로고    scopus 로고
    • Pub L No. 111-148, 124 Stat.
    • Patient Protection and Affordable Care Act, Pub L No. 111-148, 124 Stat 119; 2010.
    • (2010) , vol.119
  • 6
    • 84922795010 scopus 로고
    • Pub L No. 74-271, 49 Stat.
    • Social Security Act, Pub L No. 74-271, 49 Stat 620; 1935.
    • (1935) , vol.620
  • 9
    • 84857641589 scopus 로고    scopus 로고
    • Factors predicting Medicare national coverage: an empirical analysis
    • Chambers J.D., Morris S., Neumann P.J., Buxton M.J. Factors predicting Medicare national coverage: an empirical analysis. Medical Care 2012, 50(March (3)):249-256.
    • (2012) Medical Care , vol.50 , Issue.3 MARCH , pp. 249-256
    • Chambers, J.D.1    Morris, S.2    Neumann, P.J.3    Buxton, M.J.4
  • 10
    • 77954909367 scopus 로고    scopus 로고
    • Does Medicare have an implicit cost-effectiveness threshold?
    • Chambers J.D., Neumann P.J., Buxton M.J. Does Medicare have an implicit cost-effectiveness threshold?. Medical Decision Making 2010, 30(July (4)):E14-E27.
    • (2010) Medical Decision Making , vol.30 , Issue.4 JULY , pp. E14-E27
    • Chambers, J.D.1    Neumann, P.J.2    Buxton, M.J.3
  • 11
    • 56649086565 scopus 로고    scopus 로고
    • Medicare's national coverage decisions for technologies, 1999-2007
    • Neumann P.J., Kamae M.S., Palmer J.A. Medicare's national coverage decisions for technologies, 1999-2007. Health Affairs 2008, 27(November (6)):1620-1631.
    • (2008) Health Affairs , vol.27 , Issue.6 NOVEMBER , pp. 1620-1631
    • Neumann, P.J.1    Kamae, M.S.2    Palmer, J.A.3
  • 12
    • 12944252175 scopus 로고    scopus 로고
    • Medicare's national coverage decisions, 1999-2003: quality of evidence and review times
    • Neumann P.J., Divi N., Beinfeld M.T., Levine B.S., Keenan P.S., Halpern E.F., et al. Medicare's national coverage decisions, 1999-2003: quality of evidence and review times. Health Affairs 2005, 24(January (1)):243-254.
    • (2005) Health Affairs , vol.24 , Issue.1 JANUARY , pp. 243-254
    • Neumann, P.J.1    Divi, N.2    Beinfeld, M.T.3    Levine, B.S.4    Keenan, P.S.5    Halpern, E.F.6
  • 13
    • 84922775184 scopus 로고
    • Act to amend title XVIII of the Social Security Act to provide for Medicare coverage of pneumococcal vaccine and its administration. Pub L. No. 96-611, 94 Stat.
    • Act to amend title XVIII of the Social Security Act to provide for Medicare coverage of pneumococcal vaccine and its administration. Pub L. No. 96-611, 94 Stat 3566; 1980.
    • (1980) , vol.3566
  • 14
    • 0027467752 scopus 로고
    • Disease prevention policy under Medicare: a historical and political analysis
    • Schauffler H.H. Disease prevention policy under Medicare: a historical and political analysis. American Journal of Preventive Medicine 1993, 9(March (2)):71-77.
    • (1993) American Journal of Preventive Medicine , vol.9 , Issue.2 MARCH , pp. 71-77
    • Schauffler, H.H.1
  • 15
    • 84922785903 scopus 로고
    • Catastrophic Coverage Repeal Act of 1989. H.R. 3607 (101st).
    • Catastrophic Coverage Repeal Act of 1989. H.R. 3607 (101st); 1989.
    • (1989)
  • 16
    • 84914056168 scopus 로고
    • Medicare to cover mammograms under the New Budget Law
    • American Public Health Association Medicare to cover mammograms under the New Budget Law. The Nations Health 1990, February(20):2. [Report No.: 2].
    • (1990) The Nations Health , vol.February , Issue.20 , pp. 2
  • 18
    • 33748802011 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for smoking & tobacco use cessation counseling (CAG-00241N) 2005, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=130&ver=16&NcaName=Smoking+%26+Tobacco+Use+Cessation+Counseling&DocID=CAG-00241N&bc=gAAAABAAEAAA&&fromdb=true [accessed 01.10.14].
    • (2005) Decision memo for smoking & tobacco use cessation counseling (CAG-00241N)
  • 19
    • 80053372139 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for screening for human immunodeficiency virus (HIV) infection (CAG-00409N) 2009, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=229&IsPopup=y&NCDId=335&NcaName=Screening+for+the+Human+Immunodeficiency+Virus+%28HIV%29+Infection&ncdver=1&bc=AAAAAAAACAAAAA%3D%3D& [accessed 01.10.14].
    • (2009) Decision memo for screening for human immunodeficiency virus (HIV) infection (CAG-00409N)
  • 20
  • 23
    • 84865721519 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for intensive behavioral therapy for obesity (CAG-00423N) 2011, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=253&ver=4&NcaName=Intensive+Behavioral+Therapy+for+Obesity&DocID=CAG-00423N&from2=search.asp&bc=gAAAAAgAIAAA& [accessed 01.10.14].
    • (2011) Decision memo for intensive behavioral therapy for obesity (CAG-00423N)
  • 25
    • 84868530961 scopus 로고    scopus 로고
    • Medicare's enduring struggle to define "reasonable and necessary" care
    • Neumann P.J., Chambers J.D. Medicare's enduring struggle to define "reasonable and necessary" care. New England Journal of Medicine 2012, 367(November (19)):1775-1777.
    • (2012) New England Journal of Medicine , vol.367 , Issue.19 NOVEMBER , pp. 1775-1777
    • Neumann, P.J.1    Chambers, J.D.2
  • 26
    • 0026042034 scopus 로고
    • Oregon's plan. Should it be approved?
    • Eddy D.M. Oregon's plan. Should it be approved?. JAMA 1991, 266(November (17)):2439-2445.
    • (1991) JAMA , vol.266 , Issue.17 NOVEMBER , pp. 2439-2445
    • Eddy, D.M.1
  • 28
    • 84921811610 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for autologous cellular immunotherapy treatment of metastatic prostate cancer (CAG-00422N) 2011, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=247&ver=12&NcaName=Autologous+Cellular+Immunotherapy+Treatment+of+Metastatic+Prostate+Cancer&TimeFrame=7&DocType=All&bc=AgAAYAAAIAAA& [accessed 01.10.14].
    • (2011) Decision memo for autologous cellular immunotherapy treatment of metastatic prostate cancer (CAG-00422N)
  • 29
    • 84893091990 scopus 로고    scopus 로고
    • Economic evaluation of sipuleucel-T immunotherapy in castration-resistant prostate cancer
    • Holko P., Kawalec P. Economic evaluation of sipuleucel-T immunotherapy in castration-resistant prostate cancer. Expert Review of Anticancer Therapy 2014, 14(January (1)):63-73.
    • (2014) Expert Review of Anticancer Therapy , vol.14 , Issue.1 JANUARY , pp. 63-73
    • Holko, P.1    Kawalec, P.2
  • 31
    • 84879409751 scopus 로고    scopus 로고
    • Illustrating potential efficiency gains from using cost-effectiveness evidence to reallocate Medicare expenditures
    • Chambers J.D., Lord J., Cohen J.T., Neumann P.J., Buxton M.J. Illustrating potential efficiency gains from using cost-effectiveness evidence to reallocate Medicare expenditures. Value Health 2013, 16(June (4)):629-638.
    • (2013) Value Health , vol.16 , Issue.4 JUNE , pp. 629-638
    • Chambers, J.D.1    Lord, J.2    Cohen, J.T.3    Neumann, P.J.4    Buxton, M.J.5
  • 32
    • 12844249504 scopus 로고    scopus 로고
    • Evidence, economics, and emphysema: Medicare's long journey with lung volume reduction surgery
    • Ramsey S.D., Sullivan S.D. Evidence, economics, and emphysema: Medicare's long journey with lung volume reduction surgery. Health Affairs 2005, 24(January (1)):55-66.
    • (2005) Health Affairs , vol.24 , Issue.1 JANUARY , pp. 55-66
    • Ramsey, S.D.1    Sullivan, S.D.2
  • 34
    • 84922790444 scopus 로고
    • Congress and the nation: a review of government and politics
    • 1977-1980
    • Congressional Quarterly Service Congress and the nation: a review of government and politics. Congression Quarterly 1982, 5(1977-1980 (7-11)):601-653.
    • (1982) Congression Quarterly , vol.5 , Issue.7-11 , pp. 601-653
  • 38
    • 4244086506 scopus 로고
    • U.S. Government Printing Office, Washington, DC
    • Office of Technology Assessment Screening for open-angle glaucoma in the elderly 1988, U.S. Government Printing Office, Washington, DC.
    • (1988) Screening for open-angle glaucoma in the elderly
  • 40
    • 84922763325 scopus 로고
    • Omnibus Budget Reconciliation Act of 1987. Pub L No. 100-203, 101 Stat.
    • Omnibus Budget Reconciliation Act of 1987. Pub L No. 100-203, 101 Stat 1330; 1987.
    • (1987) , vol.1330
  • 42
    • 84922785931 scopus 로고    scopus 로고
    • Balanced Budget Act of 1997. Pub L No. 105-33, 111 Stat.
    • Balanced Budget Act of 1997. Pub L No. 105-33, 111 Stat 251; 1997.
    • (1997) , vol.251
  • 43
    • 71749090106 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for Screening Computed Tomography Colonography (CTC) for Colorectal Cancer (CAG-00396N) 2009, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=220&ver=14&NcaName=Screening+Computed+Tomography+Colonography+%28CTC%29+for+Colorectal+Cancer&bc=BEAAAAAAEAAA&&fromdb=true [accessed 01.10.14].
    • (2009) Decision memo for Screening Computed Tomography Colonography (CTC) for Colorectal Cancer (CAG-00396N)
  • 44
    • 84922805118 scopus 로고    scopus 로고
    • Medicare Improvements for Patients and Providers Act of 2008. Pub L No. 110-275, 122 Stat.
    • Medicare Improvements for Patients and Providers Act of 2008. Pub L No. 110-275, 122 Stat. 2494; 2008.
    • (2008) , vol.2494
  • 45
    • 0034780021 scopus 로고    scopus 로고
    • Rationing and life-saving treatments: should identifiable patients have higher priority?
    • Hope T. Rationing and life-saving treatments: should identifiable patients have higher priority?. Journal of Medical Ethics 2001, 27(June (3)):179-185.
    • (2001) Journal of Medical Ethics , vol.27 , Issue.3 JUNE , pp. 179-185
    • Hope, T.1
  • 49
    • 77957123338 scopus 로고    scopus 로고
    • Screening mammography - a long run for a short slide?
    • Welch H.G. Screening mammography - a long run for a short slide?. New England Journal of Medicine 2010, 363(September (13)):1276-1278.
    • (2010) New England Journal of Medicine , vol.363 , Issue.13 SEPTEMBER , pp. 1276-1278
    • Welch, H.G.1
  • 50
    • 39049091057 scopus 로고    scopus 로고
    • Does preventive care save money? Health economics and the presidential candidates
    • Cohen J.T., Neumann P.J., Weinstein M.C. Does preventive care save money? Health economics and the presidential candidates. New England Journal of Medicine 2008, 358(February (7)):661-663.
    • (2008) New England Journal of Medicine , vol.358 , Issue.7 FEBRUARY , pp. 661-663
    • Cohen, J.T.1    Neumann, P.J.2    Weinstein, M.C.3
  • 51
    • 59449087905 scopus 로고    scopus 로고
    • Preventing chronic disease: an important investment, but don't count on cost savings
    • Russell L.B. Preventing chronic disease: an important investment, but don't count on cost savings. Health Affairs 2009, 28(January (1)):42-45.
    • (2009) Health Affairs , vol.28 , Issue.1 JANUARY , pp. 42-45
    • Russell, L.B.1
  • 52
    • 79955725583 scopus 로고    scopus 로고
    • Listening to Provenge - what a costly cancer treatment says about future Medicare policy
    • Chambers J.D., Neumann P.J. Listening to Provenge - what a costly cancer treatment says about future Medicare policy. New England Journal of Medicine 2011, 364(May (18)):1687-1689.
    • (2011) New England Journal of Medicine , vol.364 , Issue.18 MAY , pp. 1687-1689
    • Chambers, J.D.1    Neumann, P.J.2
  • 53
    • 79953775949 scopus 로고    scopus 로고
    • The hidden role of cost: Medicare decisions, transparency and public trust
    • Fox J. The hidden role of cost: Medicare decisions, transparency and public trust. The University of Cincinnati Law Review 2010, 79(1):1-51.
    • (2010) The University of Cincinnati Law Review , vol.79 , Issue.1 , pp. 1-51
    • Fox, J.1
  • 54
    • 84922807162 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Centers for Medicare & Medicaid Services Decision memo for screening DNA stool test for colorectal cancer (CAG-00144N) 2008, http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=212&NcaName=Screening+DNA+Stool+Test+for+Colorectal+Cancer&NCDId=281&ncdver=2&IsPopup=y&bc=AAAAAAAACAAAAA%3D%3D& [accessed 01.10.14].
    • (2008) Decision memo for screening DNA stool test for colorectal cancer (CAG-00144N)
  • 55
    • 84922801742 scopus 로고    scopus 로고
    • [accessed 01.10.14].
    • Patient Centered Outcomes Research Institute. 2013. [accessed 01.10.14]. http://www.pcori.org/.
  • 56
    • 77957958434 scopus 로고    scopus 로고
    • Legislating against use of cost-effectiveness information
    • Neumann P.J., Weinstein M.C. Legislating against use of cost-effectiveness information. The New England Journal of Medicine 2010, 363(October (16)):1495-1497.
    • (2010) The New England Journal of Medicine , vol.363 , Issue.16 OCTOBER , pp. 1495-1497
    • Neumann, P.J.1    Weinstein, M.C.2
  • 57
    • 84864719313 scopus 로고    scopus 로고
    • Straight talk with...Joe Selby
    • Selby J. Straight talk with...Joe Selby. Nature Medicine 2012, 18(August (8)):1164.
    • (2012) Nature Medicine , vol.18 , Issue.8 AUGUST , pp. 1164
    • Selby, J.1
  • 58
    • 84906936861 scopus 로고    scopus 로고
    • Do changes in drug coverage policy point to an increased role for cost-effectiveness analysis in the USA?
    • Chambers J.D. Do changes in drug coverage policy point to an increased role for cost-effectiveness analysis in the USA?. Pharmacoeconomics 2014, 32(August (8)):729-733.
    • (2014) Pharmacoeconomics , vol.32 , Issue.8 AUGUST , pp. 729-733
    • Chambers, J.D.1
  • 59
    • 84922811667 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • Caremark C.V.S. Formulary drug exclusions 2014 2013, http://www.cmu.edu/hr/benefits/benefit_programs/forms/Formulary-Drug-Removals.pdf [accessed 01.10.14].
    • (2013) Formulary drug exclusions 2014
    • Caremark, C.V.S.1
  • 60
    • 84922814294 scopus 로고    scopus 로고
    • 01.10.14]
    • Express Scripts 2014 drugs not covered 2013, https://member.express-scripts.com/images/pdf/refdrugexclusionlist.pdf[(accessed 01.10.14].
    • (2013) 2014 drugs not covered
  • 61
    • 84922823232 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • The American College of Cardiology and the American Heart Association (AHA). ACC/AHA to include cost/value assessments in guidelines and performance measures 2014, http://www.Cardiosource.org/News-Media/Publications/Cardiology-Magazine/2014/03/ACCAHA-to-Include-CostValue-Assessments-in-Guidelines-and-Performance-Measures.aspx [accessed 01.10.14].
    • (2014) ACC/AHA to include cost/value assessments in guidelines and performance measures
  • 62
    • 84922827226 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • American Society of Clinical Oncology ASCO in action brief: value in cancer care 2014, http://www.asco.org/advocacy/asco-action-brief-value-cancer-care [accessed 01.10.14].
    • (2014) ASCO in action brief: value in cancer care
  • 63
    • 85018411270 scopus 로고    scopus 로고
    • [accessed 01.10.14]
    • American Board of Internal Medicine Choosing wisely campaign 2013, http://www.choosingwisely.org/ [accessed 01.10.14].
    • (2013) Choosing wisely campaign
  • 67
    • 84892424293 scopus 로고    scopus 로고
    • Cost-effectiveness decision making and US public opinion
    • Botta M.D., Blendon R.J., Benson J.M. Cost-effectiveness decision making and US public opinion. JAMA Internal Medicine 2014, 174(January (1)):141-143.
    • (2014) JAMA Internal Medicine , vol.174 , Issue.1 JANUARY , pp. 141-143
    • Botta, M.D.1    Blendon, R.J.2    Benson, J.M.3
  • 68
    • 84876151489 scopus 로고    scopus 로고
    • What can we learn from the U.S. expanded end-stage renal disease bundle?
    • Chambers J.D., Weiner D.E., Bliss S.K., Neumann P.J. What can we learn from the U.S. expanded end-stage renal disease bundle?. Health Policy 2013, February(110):164-171.
    • (2013) Health Policy , vol.February , Issue.110 , pp. 164-171
    • Chambers, J.D.1    Weiner, D.E.2    Bliss, S.K.3    Neumann, P.J.4
  • 70
    • 0027915821 scopus 로고
    • Final results: Medicare influenza vaccine demonstration - selected states, 1988-1992
    • U.S.Centers for Disease Control Final results: Medicare influenza vaccine demonstration - selected states, 1988-1992. Morbidity and Mortality Weekly Report (MMWR) 1993, 42(31):601-604.
    • (1993) Morbidity and Mortality Weekly Report (MMWR) , vol.42 , Issue.31 , pp. 601-604
  • 71
    • 84922815331 scopus 로고    scopus 로고
    • The role of nutrition in maintaining health in the nation's elderly: evaluating coverage of nutrition services for the Medicare population
    • [accessed 01.10.14]
    • Institute of Medicine The role of nutrition in maintaining health in the nation's elderly: evaluating coverage of nutrition services for the Medicare population. Institute of Medicine 2000, http://www.nap.edu/catalog.php?record_id=9741 [accessed 01.10.14].
    • (2000) Institute of Medicine
  • 73
    • 45549092356 scopus 로고    scopus 로고
    • Cost-effectiveness of HIV screening in patients older than 55 years of age
    • Sanders G.D., Bayoumi A.M., Holodniy M., Owens D.K. Cost-effectiveness of HIV screening in patients older than 55 years of age. Annals of Internal Medicine 2008, 148(June (12)):889-903.
    • (2008) Annals of Internal Medicine , vol.148 , Issue.12 JUNE , pp. 889-903
    • Sanders, G.D.1    Bayoumi, A.M.2    Holodniy, M.3    Owens, D.K.4
  • 75
    • 38049041897 scopus 로고    scopus 로고
    • Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness
    • Solberg L.I., Maciosek M.V., Edwards N.M. Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness. American Journal of Preventive Medicine 2008, 34(February (2)):143-152.
    • (2008) American Journal of Preventive Medicine , vol.34 , Issue.2 FEBRUARY , pp. 143-152
    • Solberg, L.I.1    Maciosek, M.V.2    Edwards, N.M.3
  • 76
    • 0024359337 scopus 로고
    • Prevention of hepatitis B infection in newborns through mass screening and delayed vaccination of all infants of mothers with hepatitis B surface antigen
    • Schalm S.W., Mazel J.A., de Gast G.C., Heijtink R.A., Botman M.J., Bänffer J.R., et al. Prevention of hepatitis B infection in newborns through mass screening and delayed vaccination of all infants of mothers with hepatitis B surface antigen. Pediatrics 1989, 83(June (6)):1041-1048.
    • (1989) Pediatrics , vol.83 , Issue.6 JUNE , pp. 1041-1048
    • Schalm, S.W.1    Mazel, J.A.2    de Gast, G.C.3    Heijtink, R.A.4    Botman, M.J.5    Bänffer, J.R.6


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.