Pitfalls in Linking Cost Sharing to Value
Authors: R. Scott Braithwaite, Allison B. Rosen
Journal: Annals of Internal Medicine (2008)

Letters5 February 2008Pitfalls in Linking Cost Sharing to ValueR. Scott Braithwaite, MD, MSc and Allison B. Rosen, MD, MPH, ScDR. Scott Braithwaite, MD, MScFrom Yale University School of Medicine, Veterans Affairs Connecticut Healthcare System, New Haven, CT 06516, and University of Michigan School of Public Health, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, MI 48109-0429.Search for more papers by this author and Allison B. Rosen, MD, MPH, ScDFrom Yale University School of Medicine, Veterans Affairs Connecticut Healthcare System, New Haven, CT 06516, and University of Michigan School of Public Health, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, MI 48109-0429.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-148-3-200802050-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Polsky for highlighting several substantive issues. Reference pricing (that is, paying the price of only the cheapest drug within a class of similarly effective drugs) is only 1 among many ways to link cost sharing to value, and it also only concerns drugs within a particular class. We endorse an approach that is sufficiently flexible to address a broad range of drug and nondrug clinical alternatives.We recognize that cost-sharing decisions may be plagued by accusations of caprice and conflict of interest, and these same concerns motivated our work. We have proposed a more objective ...References1. Braithwaite RS, Roberts MS, Justice AC. Incorporating quality of evidence into decision analytic modeling. Ann Intern Med. 2007;146:133-41. [PMID: 17227937] LinkGoogle Scholar2. Claxton K, Cohen JT, Neumann PJ. When is evidence sufficient? Health Aff (Millwood). 2005;24:93-101. [PMID: 15647219] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: R. Scott Braithwaite, MD, MSc; Allison B. Rosen, MD, MPH, ScDAffiliations: From Yale University School of Medicine, Veterans Affairs Connecticut Healthcare System, New Haven, CT 06516, and University of Michigan School of Public Health, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, MI 48109-0429.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIncorporating Quality of Evidence into Decision Analytic Modeling R. Scott Braithwaite , Mark S. Roberts , and Amy C. Justice Linking Cost Sharing to Value: An Unrivaled Yet Unrealized Public Health Opportunity R. Scott Braithwaite and Allison B. Rosen Pitfalls in Linking Cost Sharing to Value Fred I. Polsky Metrics Cited byDiabetes, Depression, and Death: A Randomized Controlled Trial of a Depression Treatment Program for Older Adults Based in Primary Care (PROSPECT) 5 February 2008Volume 148, Issue 3Page: 244KeywordsComparative effectiveness researchConflicts of interestDecision makingDrug pricesDrugsHealth careMyocardial infarction ePublished: 5 February 2008 Issue Published: 5 February 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...