Issue Briefs

The Evolving Landscape of U.S. Payer Coverage Decisions: The Role of Health Economics and Outcomes Research

The Evolving Landscape of U.S. Payer Coverage Decisions: The Role of Health Economics and Outcomes Research 150 150 Avalon Health Economics LLC

Although there are a large number of public and private payers in the U.S., medical device and pharmaceutical manufacturers generally focus on two types of payers: (1) Medicare, which is administered by the Centers for Medicare and Medicaid Services (CMS) and covers individuals ages ≥ 65; and (2) private commercial payers (e.g., Blue Cross and…

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