Health Care Reform: Treatment Effectiveness Information Nationwide

15 Pages Posted: 9 Jul 2014 Last revised: 4 Feb 2015

See all articles by Robert B Leflar

Robert B Leflar

National Taiwan University; National Yang Ming Chiao Tung University; University of Arkansas School of Law

Date Written: July 8, 2014

Abstract

High-cost, low-value care permeates much of the American health care system. Congress has begun attempting to address the issue by provisions in the Affordable Care Act encouraging a shift from pay-for-volume to pay-for-performance practices, and by funding clinical effectiveness research through the new Patient-Centered Outcomes Research Institute (PCORI). This short paper offers an overview of the background of PCORI’s formation, the politically-derived constraints within which it is required to operate, and the types of studies it is carrying out. The paper concludes that in addition to clinical effectiveness studies, well-designed cost-effectiveness studies are needed for the development of rationalized health care practices -- current congressional restrictions notwithstanding.

Keywords: outcomes research, health reform, PCORI, clinical effectiveness, cost-effectiveness, death panels, pay-for-performance, accountable care organizations, ACO, QALY

JEL Classification: D81, H51, I12, I18, J17, K32

Suggested Citation

Leflar, Robert B, Health Care Reform: Treatment Effectiveness Information Nationwide (July 8, 2014). University of Arkansas at Little Rock Law Review, vol. 36, pp. 604-618 (2014), University of Arkansas Research Paper No. 14-21, Available at SSRN: https://ssrn.com/abstract=2463599

Robert B Leflar (Contact Author)

National Taiwan University ( email )

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National Yang Ming Chiao Tung University ( email )

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Taiwan
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University of Arkansas School of Law ( email )

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United States
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