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Using Cost-Effectiveness Analysis to Improve Health CareOpportunities and barriers$
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Peter J. Neumann

Print publication date: 2004

Print ISBN-13: 9780195171860

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195171860.001.0001

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Advice for Policy Makers and Politicians

Advice for Policy Makers and Politicians

(p.138) 11 Advice for Policy Makers and Politicians
Using Cost-Effectiveness Analysis to Improve Health Care

Peter J. Neumann

Oxford University Press

One lesson is that it is important to distinguish resistance to cost-effectiveness analysis on technical grounds from resistance on political grounds. For the most part, U.S. policy makers haven't attempted to use CEA for political reasons. The technique hasn't made it to the starting line. Another lesson is that moving towards cost-effectiveness analysis is a long-term process that will require changes at several levels. Creating conditions for its use will take time. Policy makers cannot simply overlay CEA on a culture and system unprepared for its use. Creating the conditions will require changing the way we think about limits in health care. It will require changing the environment surrounding cost-effectiveness analysis and will involve a variety of institutional players from medical journal editors to government officials and health plan executives to judges and juries. This final chapter considers each in turn.

Keywords:   U.S. policymakers, politics, culture, CEA research, health insurance, evidence, recommendations

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