Does Anyone in America Really Use CEA? Examples from the Field
The resistance to CEA highlighted in Chapters 3–6 suggests that the technique has had little impact. CEA might be characterized as an elegant but forbidden tool, beautifully made but outlawed as too dangerous. Still, the possibility remains that CEA actually enjoys considerable influence, not as an explicit instrument for prioritizing health services, but as a more subtle input into decision making. By the dawn of the 21st century, cost-effectiveness analysts had carved out a distinctive place in mainstream academic American medicine, even as the studies' impacts remained elusive. This chapter describes the possible influence of CEA generally and on major stakeholders, including Medicare, Medicaid, insurance companies, and pharmaceutical companies.
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