Health Affairs, doi: 10.1377/hlthaff.25.w572 (Published online November 7, 2006) © 2006 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

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Developing A Center For Comparative Effectiveness Information

¹ Gail Wilensky, an economist and a former administrator of HCFA, is a senior fellow at Project HOPE in Bethesda, Maryland.

^*Corresponding author.

Abstract

Interest in objective, credible comparative clinical effectiveness information has been growing in the United States, both by those who support competitive behavior in health care and by those who support administered pricing. The Medicare drug benefit has heightened interest in better information, although the potential payoff is even greater for medical procedures than for drugs, since procedures account for more of the health care dollar. Careful consideration needs to be given regarding the appropriate structure, placement, financing, and function of an agency devoted to comparative effectiveness if it is to achieve its objective: a mechanism to support better decision making in health care. [Health Affairs 25 (2006): w572-w585 (published online 7 November 2006; 10.1377/ hlthaff.25.w572)]

Key Words: Business Of Health, Insurance Coverage, Medicare, Quality Of Care, Research And Technology, Health Spending, Politics, Evidence-Based Medicine

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