The American Journal of Managed Care

Complementing Coverage and Reimbursement Decisions With Multi-Criteria Decision Analysis

Coverage and reimbursement decisions are hardly predictable or consistent within and across US payers. Payers are in the position of determining which drugs to pay for, for whom, and at what level to ...
The American Journal of Managed Care

Criteria for Coverage of CGRP Antagonists in Migraine

Peter Salgo, MD: Here [it] comes, I’m afraid to say this, the $64-billion question: cheap drugs, new expensive drugs? What are the coverage criteria for these CGRPR [calcitonin gene-related peptide ...
Becker's Hospital Review

Revisions in vertebroplasty and vertebral augmentation – Medicare coverage criteria

New for 2015, the CPT codes for vertebroplasty and kyphoplasty were revised to include radiology supervision and interpretation. With the revision the previously existing Local Coverage Determinations ...
ascopubs.org

Augmenting Real-World Data Through Modeling Key Clinical Trial Eligibility Criteria: An Example of Patients With Non–small-Cell Lung Cancer Treated With Pembrolizumab

Data Matching to Support Analysis of Cancer Epidemiology Among Veterans Compared With Non-Veteran Populations—An Exemplar in Brain Tumors Real world data (RWD) were from the Flatiron Health advanced ...