Contents

Summary and Introduction

The Current State of Comparative Effectiveness Research

What Is Comparative Effectiveness?

Research in the Private Sector

Past and Current Federal Efforts

The Consequences of Limited Information

Options for Organizing and Funding New Federal Research Efforts

Options for Comparing the Effectiveness of Treatments

Methods of Research

The Scope and Focus of Analyses and the Dissemination of Results

Implications for Health Care Spending

The Potential for Savings on Health Care

Possible Responses by Private and Public Insurance Plans

Estimated Effects of a Recent Proposal

Tables

1. Requested, Proposed, and Actual Funding for the Agency for Health Care Research and Quality

2. Cost-Effectiveness of Different Screening Methods for Colorectal Cancer

 

Figures

1. Federal Spending for Medicare and Medicaid as a Percentage of Gross Domestic Product Under Different Assumptions About Excess Cost Growth

2. Medicare Spending per Capita in the United States, by Hospital Referral Region, 2003

3. Rates of Four Orthopedic Procedures Among Medicare Enrollees, 2002 and 2003

 

Boxes

1. Research on Comparative Effectiveness in Other Countries

2. The U.S. Preventive Services Task Force


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