Improving Evidence-Based Decision-Making in Medicare Coverage


New medical procedures and treatments can improve health outcomes, but they also are a major factor in the rapid rise of health care costs. What makes this trade-off particularly problematic is the lack of data on which procedures and treatments work and in which situations they are effective, as well as the lack of a mechanism for making appropriate decisions even when such information is available. This project will seek to: 1) analyze the evidence and the process used by the Medicare program to determine which new medical technologies it will pay for; and 2) explore alternative decision-making mechanisms, including those used by private insurers and other countries, that Medicare might consider. The analysis will draw from a database that includes information on treatment coverage decisions made from 1999 through mid-2007.

Grant Details

Grantee Organization:
Tufts–New England Medical Center
Principal Investigator:
Peter J. Neumann, Sc.D.
Award Amount:
Approval Date:
July 11, 2006
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