I write about payment policies for drugs, gene therapies, and DTx. 20+ yrs Pharmacist & Pop Health Researcher. Making care predictable, accessible, affordable.
Mark your calendars for March 20!
We're thrilled to host thought leaders @djheakin, @DCPatient, @Graham_Cookson, @DuaneSchulthess, and @KennethThorpe to discuss the critical link between policy decisions and biopharma innovation.
Sign up here: https://t.co/gy5sXBMko4
@Pam_Rubin1 Great reminder. I echo the importance of #5 Describing what success looks like. Sub-questions are - a) are there other elements dependent on this (which is often forgotten)? and b) what does good look like? (e.g., proposal vs. minimum viable product, vs. fully vetted).
Long a problem in research. Now a challenge for value-based care.
Health records don’t always show when patients are dead. One researcher is trying to change that https://t.co/F2G2IxVS2v via @statnews
“March-in” rights – what are they, what does the White House have to do with them, and how might it affect medicines of the future? @MacKayJimeson tells us → https://t.co/SNVksC1TeP
Do health plans cite different types of evidence for drugs indicated for different diseases?
Analysis of the SPEC Database shows stark differences across diseases
Some highlights:
Cardiology: 63% Clinical guidelines
Respiratory: 39% RCTs
Ophthalmology: 19% RWE
@planetJoseph Wishtree by Katherine Applegate was that book at our house. The Mr. Terrupt series by Rob Buyea (we read these at 9 and 10). Vanderbeekers are less sad but have their moments. The Chicken squad series with Diamond Lil is a lighthearted dog series when you need a sad break.
@Pam_Rubin1 2) the second was on how people preferred different communication styles. We used that at team meetings for the next 9 months.
Bottom line both had a debrief and what we would take back. Without that it is just an afternoon or day lost with work yet to be done.
@Pam_Rubin1 1) first one was used to talk about how our decentralized department could work to aid one another (a key part of the cooking clas) and became principles for a rapidly forming department that we came back to routinely.
How often do health plans update their specialty drug coverage policies?
In @JMCP, we showed that between 2017-2019 plans adjusted coverage criteria (eg, step therapy) in 17% of their policies
In 84% plans updated the evidence (eg, RWE) cited in support of their decisions
We often think it is a single moment or person that we know about (e.g., Rosa Parks). But what we find is that there are many that pass before and set precedence. Each step matters.
Happy 84th birthday to Claudette Colvin!
She refused to move to the back of a bus 9 months before Rosa Parks, the NAACP did not want to use her to represent them because she was 15 & pregnant.
Other women who refused to give up their seats before Rosa Parks
A THREAD!
Flight attempt 3 today. First two flights from DCA had technical malfunctions. Headed to the second airport. Here is hoping the direct flight to Lax takes off (and lands). @united tough day.
@clhubes Noyes children’s library in Kensington has story time, and music several times a week. We loved boxes. Give the 3-yo a box from your move (crayons, tape, it was hours). Washable paints to create stained glass window/door.
@Pam_Rubin1 As a mentor: especially #3 Follow-up: Did you accomplish it or try X, YZ? Add #4 clarifying when/how often to follow back up (especially if they didn't do the work).
As a mentee: Mentors that frame quesitons vs. simply "copy/paste" their experiences. Mentees are not a mini-me.
@Pam_Rubin1 Finished a call earlier today with a known idea fairy.
Came prepared with the Decision, Owner, Date (DID) framework and it was like magic.
LIke magic to learn where they were truly vested and where to spend time on things that truly matter.