Justifying reimbursement for Alzheimers diagnostics and treatments: Seeking alignment on evidence

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Publication Type pre-print
School or College School of Medicine
Department Neurology
Creator Foster, Norman L.
Other Author Hackett, Judith S. M.; White, Greg; Chenevert, Sherri; Svarvar, Patrick; Bain, Lisa; Carrillo, Maria C.
Title Justifying reimbursement for Alzheimers diagnostics and treatments: Seeking alignment on evidence
Date 2014-01-01
Description The increasing cost of health care combined with expensive new drugs and diagnostics is leading to more frequent gaps between regulatory and reimbursement approval decisions. As a result, persons with Alzheimer's disease may have difficulty accessing the benefits of medical advances. In contrast to the long history and established structure for drug approval, payer decision-making is dispersed, not standardized and perspectives on necessary evidence differ and often poorly defined. Particularly challenging is how to demonstrate the value of drugs and diagnostics for patients who do not yet have significant functional decline. While discussions to develop consensus continue, clinical trials should begin to incorporate health system and patient-oriented outcomes. In some situations additional studies designed to demonstrate value and comparative effectiveness will be needed. Such studies should examine outcomes of representative populations in community settings. To assure scientific advances in diagnosis and treatment benefit patients, developing evidence to support reimbursement will become as important as obtaining regulatory approval.
Type Text
Publisher Elsevier
Volume 10
Issue 4
First Page 503
Last Page 508
Language eng
Bibliographic Citation Foster, N.L., Hackett, J. S. M., White, G., Chenevert, S., Svarvar, P., Bain, L., & Carrillo, M. (2014). Justifying reimbursement for Alzheimers diagnostics and treatments: Seeking alignment on evidence. Alzheimers and Dementia, 10(4), 503-8. C.
Rights Management (c) Elsevier ; Authors manuscript from Foster, N.L., Hackett, J. S. M., White, G., Chenevert, S., Svarvar, P., Bain, L., & Carrillo, M. (2014). Justifying reimbursement for Alzheimers diagnostics and treatments: Seeking alignment on evidence. Alzheimers and Dementia, 10(4), 503-8. C. http://dx.doi.org/10.1016/j.jalz.2014.05.003
Format Medium application/pdf
Format Extent 947,914 bytes
Identifier uspace,18787
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Reference URL https://collections.lib.utah.edu/ark:/87278/s6xw7txj
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