This document discusses the challenges faced by economists and policymakers at the US Food and Drug Administration's Center for Food Safety and Applied Nutrition. It outlines the hurdles in estimating costs and benefits for proposed regulations due to data constraints, legal limitations, and uncertainty. It also reviews the requirements for regulatory analysis including assessing baseline practices, quantifying regulatory impacts, and valuing public health outcomes. Economists aim to thoroughly analyze problems and inform decision making, but developing efficient food safety policies is complicated by the many variables involved.
Martin Gaynor: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Martin Gaynor's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Research co-authored by IBI and A. Mark Fendrick, MD, co-director of the University of Michigan Center for Value-Based Insurance Design, stresses that understanding the full value of improved health, including improvements in workforce productivity, lost time and medical costs, is essential in helping employers make better choices about how much to invest in health care and where to invest it. The report notes that a focus only on medical-cost-offset results is unlikely to generate the bottom-line impact and incentives for healthy human capital investments that would be generated by a full-cost view.
Dr. Mollyann Brodie: "What Soaring Drug Prices Mean for Patients," 9.3.15reportingonhealth
Dr. Mollyann Brodie's presentation from "What Soaring Drug Prices Mean for Patients," 9.3.15
http://www.reportingonhealth.org/content/what-soaring-drug-prices-mean-patients
Martin Gaynor: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Martin Gaynor's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Research co-authored by IBI and A. Mark Fendrick, MD, co-director of the University of Michigan Center for Value-Based Insurance Design, stresses that understanding the full value of improved health, including improvements in workforce productivity, lost time and medical costs, is essential in helping employers make better choices about how much to invest in health care and where to invest it. The report notes that a focus only on medical-cost-offset results is unlikely to generate the bottom-line impact and incentives for healthy human capital investments that would be generated by a full-cost view.
Dr. Mollyann Brodie: "What Soaring Drug Prices Mean for Patients," 9.3.15reportingonhealth
Dr. Mollyann Brodie's presentation from "What Soaring Drug Prices Mean for Patients," 9.3.15
http://www.reportingonhealth.org/content/what-soaring-drug-prices-mean-patients
Dr. Robert Berenson: "Does ‘Pay for Performance’ Work?" 6.28.16reportingonhealth
Dr. Robert Berenson's slides from the Center for Health Journalism webinar "Does ‘Pay for Performance’ Work?" 6.28.16
http://www.centerforhealthjournalism.org/content/does-pay-performance-work
Comparative assessment of stakeholder feedback capt-poster presentation-2019Naghmeh Foroutan
The present study was designed for obtaining Canadian pricing and reimbursement stakeholders’ opinion on a list of proposed recommendations for updating the 2007 Patented Medicine Prices Review Board (PMPRB) Budget Impact Analysis guidelines. Methods: Stakeholders from different perspectives including policymakers (public and private payers) and industry experts/consultants were invited to participate in the study (private payer and industry perspectives were not included in the PMPRB 2007 BIA guidelines). Using a mixed methods approach, an interview guide and a written survey were developed based on discordance between the PMPRB 2007 BIA guidelines recommendations and Canadian provincial, and other national or transnational BIA guidelines. A thematic content analysis was applied for the qualitative data analysis. Results: We conducted nine interviews with policymakers and twenty-seven surveys with industry experts/consultants. Most interviewees were positive about the usefulness of BIA in disinvestment decisions and believed that reviewing cost-effectiveness analysis (CEA) and BIA together, at the same time, could be particularly informative for setting value-based prices. Fifty-six percent of the proposed recommendations were approved (e.g., the use of post-market real-world data for assessing the reliability of BIAs first-year forecasts), whereas, 30% were not supported by stakeholders (e.g., indirect costs). Some recommendations will need further input from public and private payers before being included in a revised version of the PMPRB BIA guidelines (e.g., inclusion of cost offsets). Conclusions: In the present study, Canadian payers and manufacturers’ views on the BIA recommendations, obtained through qualitative and quantitative methods, provide additional insight to help define BIA guidelines from a Canadian perspective. This information may also be of value for updating or creating BIA guidelines worldwide.
This slide is about PESTEL analysis. In this slide professionally discuss on PESTEL analysis. Briefly, analyse about PESTEL so one can easily understand and easily implement on the desired area.
Sabriya Rice: "Does ‘Pay for Performance’ Work?" 6.28.16reportingonhealth
Sabriya Rice's slides from the Center for Health Journalism webinar "Does ‘Pay for Performance’ Work?" 6.28.16
http://www.centerforhealthjournalism.org/content/does-pay-performance-work
Will There Be a Productivity Revolution in Health Care? - David CutlerWSU
Health care is poised to undergo a revolution in productivity. With changes in organization and financing of care, we could improve productivity in medical practices, and for the system as a whole. The talk will describe how health care productivity can be increased, and the paths that might be taken with or without reform.
Case Study: Advanced Analytics to Help Youth At Risk Population Avoid Out of ...ODH, Inc.
Case Study: Incorporate Advanced Analytics to Help Youth at Risk Avoid Out of Home Placement. Data is critical to care management. Aggregate data from multiple sources. Apply to segment of at-risk population. Analyze and extract insight to identify interventions. NJ takes Electronic Health Records (EHR) and pairs with health IT to improve out of home placement decisions. Presented at the Payer's Behavioral Health Management Track on Tues, Oct. 16, 2018 by Michael Golinkoff, PhD, MBA, Sr. Vice President, AmeriHealth Caritas, Innovation Advisor, and Daniel Carpenter, PhD, Sr. Director, Delivery & Account Management, ODH, Inc.
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
This presentation by Gijs VAN DER VLUGT, Camila VAMMALLE and Claudia HULBERT was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
Dr. Robert Berenson: "Does ‘Pay for Performance’ Work?" 6.28.16reportingonhealth
Dr. Robert Berenson's slides from the Center for Health Journalism webinar "Does ‘Pay for Performance’ Work?" 6.28.16
http://www.centerforhealthjournalism.org/content/does-pay-performance-work
Comparative assessment of stakeholder feedback capt-poster presentation-2019Naghmeh Foroutan
The present study was designed for obtaining Canadian pricing and reimbursement stakeholders’ opinion on a list of proposed recommendations for updating the 2007 Patented Medicine Prices Review Board (PMPRB) Budget Impact Analysis guidelines. Methods: Stakeholders from different perspectives including policymakers (public and private payers) and industry experts/consultants were invited to participate in the study (private payer and industry perspectives were not included in the PMPRB 2007 BIA guidelines). Using a mixed methods approach, an interview guide and a written survey were developed based on discordance between the PMPRB 2007 BIA guidelines recommendations and Canadian provincial, and other national or transnational BIA guidelines. A thematic content analysis was applied for the qualitative data analysis. Results: We conducted nine interviews with policymakers and twenty-seven surveys with industry experts/consultants. Most interviewees were positive about the usefulness of BIA in disinvestment decisions and believed that reviewing cost-effectiveness analysis (CEA) and BIA together, at the same time, could be particularly informative for setting value-based prices. Fifty-six percent of the proposed recommendations were approved (e.g., the use of post-market real-world data for assessing the reliability of BIAs first-year forecasts), whereas, 30% were not supported by stakeholders (e.g., indirect costs). Some recommendations will need further input from public and private payers before being included in a revised version of the PMPRB BIA guidelines (e.g., inclusion of cost offsets). Conclusions: In the present study, Canadian payers and manufacturers’ views on the BIA recommendations, obtained through qualitative and quantitative methods, provide additional insight to help define BIA guidelines from a Canadian perspective. This information may also be of value for updating or creating BIA guidelines worldwide.
This slide is about PESTEL analysis. In this slide professionally discuss on PESTEL analysis. Briefly, analyse about PESTEL so one can easily understand and easily implement on the desired area.
Sabriya Rice: "Does ‘Pay for Performance’ Work?" 6.28.16reportingonhealth
Sabriya Rice's slides from the Center for Health Journalism webinar "Does ‘Pay for Performance’ Work?" 6.28.16
http://www.centerforhealthjournalism.org/content/does-pay-performance-work
Will There Be a Productivity Revolution in Health Care? - David CutlerWSU
Health care is poised to undergo a revolution in productivity. With changes in organization and financing of care, we could improve productivity in medical practices, and for the system as a whole. The talk will describe how health care productivity can be increased, and the paths that might be taken with or without reform.
Case Study: Advanced Analytics to Help Youth At Risk Population Avoid Out of ...ODH, Inc.
Case Study: Incorporate Advanced Analytics to Help Youth at Risk Avoid Out of Home Placement. Data is critical to care management. Aggregate data from multiple sources. Apply to segment of at-risk population. Analyze and extract insight to identify interventions. NJ takes Electronic Health Records (EHR) and pairs with health IT to improve out of home placement decisions. Presented at the Payer's Behavioral Health Management Track on Tues, Oct. 16, 2018 by Michael Golinkoff, PhD, MBA, Sr. Vice President, AmeriHealth Caritas, Innovation Advisor, and Daniel Carpenter, PhD, Sr. Director, Delivery & Account Management, ODH, Inc.
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
This presentation by Gijs VAN DER VLUGT, Camila VAMMALLE and Claudia HULBERT was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
Principles of Surgical Audit presented by Meeran Earfan, Kurdistan Board Trainee/General Surgery in Sulaimaniyah Teaching Hospital, As Sulaimaniyah, Iraq
At the frontier of Big Data and Brain HealthSharpBrains
During this session we will explore cutting-edge initiatives to accelerate research & development via Big Data, crowdsourcing, technologies for the extended mind, and a range of data-rich pervasive neurotechnologies such as virtual reality.
-Chair: Alison Fenney, Director of Industry Alliances at the Neurotechnology Industry Organization (NIO)
-Dr. Walter Greenleaf, Distinguished Visiting Scholar at Stanford University’s Virtual Human Interaction Lab
-Michael Meagher, President of Cogniciti
-José Barrios, Co-Founder & CEO of Cognilab
-Dr. Peter Reiner, Co-Founder, National Core for Neuroethics at the University of British Columbia
Presentation @ The 2015 SharpBrains Virtual Summit http://sharpbrains.com/summit-2015/agenda
Advantage series regulatory convergence studyGrayling
The gradual demise of divergent national regulations is inevitable as our economies, markets and societies globalize with exponential speed, and every day we see examples of regulatory convergence, whereby standards, policies and laws align across different geographies.
This convergence is occurring both bilaterally between countries, and at a regional/international and global level.
What does this mean for international organizations? How can they maximize the benefits and mitigate the risks associated with regulatory convergence?
This study examines this phenomenon in detail and provides some signposts to creating advantage.
Washington Update: Changes at the FDA and Health Reform Implementation - Thom...marcus evans Network
Thomas Novelli, Medical Device Manufacturers Association - Speaker at the marcus evans Medical Device Manufacturing Summit June 2012, held in Las Vegas, NV delivered his presentation entitled Washington Update: Changes at the FDA and Health Reform Implementation
4 Environmental Analysis
Charles Dharapak/Associated Press
Organisations don’t exist in a vacuum. They are intricately connected to an
outside world with a constantly changing landscape.
—The Happy Manager
Learning Objectives
After reading this chapter, you should be able to do the following:
• Describe the environmental forces that create change and can influence an HCO’s strategic planning.
• Discuss the impact of legislation on HCO operations and strategic planning.
• Identify the main forces referred to in the five forces model of industry analysis.
• Explain why an HCO should continue to assess external opportunities and threats.
• List different benchmarks that can identify an HCO’s internal strengths and weaknesses.
• Explain the connections between an HCO’s strengths, weaknesses, and distinctive competencies.
• Name the advantages of the Integrated Practice Unit (IPU) as a healthcare delivery method.
Section 4.1External Analysis of Dominant Environmental Driving Forces
Introduction
This chapter discusses the importance and the components of an environmental analysis as
part of the strategic planning process for an HCO. This chapter introduces an external analysis
that uses a PESTLE framework for identifying the elements of the external environment. This
chapter then reviews legislation and governmental initiatives, which have a dramatic impact
on HCOs. Next, “Porter’s five forces” model, which also is known as the five forces model of
industry analysis, is explained and applied to an HCO. Finally, this chapter discusses internal
and external analyses and the use of a SWOT analysis, followed by an examination of how
resources, costs, and distinctive competencies affect strategic planning efforts.
4.1 External Analysis of Dominant
Environmental Driving Forces
It is vital for an HCO to gauge the external environment within which it operates. This, in fact,
should be standard practice for all organizations. Virtually anything that can happen prob-
ably will happen, eventually. We truly have no certainty about what things will be like in the
future, in spite of our attempts to make predictions or forecasts. Still, an HCO cannot afford to
let generalized eventualities and uncertainties keep it from being active in strategic planning,
and changing in response to environmental demands.
PESTLE is an acronym to describe the elements of the external environment that impact
an HCO’s planning process. These elements require specific analysis about their current or
potential impact on the organization’s planning and operations. PESTLE stands for politi-
cal, economic, sociocultural, technological, legal and eco-environmental forces, which exert
strong influences on how an HCO crafts and executes strategic plans. Figure 4.1 shows the
elements of PESTLE.
These elements also interact with each other to create additional ramifications. Consider
medical waste. Medical waste first came to the attention of.
Analysis of drivers that cause restricted access to funding for smaller biotech companies.
A detailed reviewed of the steps
venture capitalists and companies are
taking — models such as fail-fast R&D, asset-centric funding and more.
Proposal of a model that
could radically change R&D by taking a
much more holistic approach to drug
development, sharing information to
learn in real time across the cycle of care
and fundamentally changing how risk
and reward are allocated.
David Blumenthal, MD, MPP, President of The Commonwealth Fund, presents on evaluating innovative programs at the CMS Quality Conference on Nov. 30, 2015.
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
1. Hurdles and Hoops:
Policy and Economics in a Regulatory Agency
Brad Brown, PhD
Lead Economist
and
David Zorn, PhD
Director of Social Sciences
Center for Food Safety and Applied Nutrition
US Food and Drug Administration
Economics of Improved Safety Practices
September 27, 2010
4. Requirements for Regulatory Analysis
Executive Order 12866
OMB Circular A-4 (guidance for EO 12866)
Paperwork Reduction Act
Regulatory Flexibility Act as amended by the
Small Business Regulatory Enforcement and
Fairness Act
Unfunded Mandates Reform Act
5. Intro: Challenges in Doing Economics
and Making Policy
Change: It is a big deal
Emerging issues
Inherently complicated
Data constraints
Legal constraints
Reservations about CB analysis
6. Change: It Is a Big Deal
Produce: What we do now
No routine on-farm inspection
No specific requirements
Food cannot be adulterated
Good Agricultural Practices (GAPs) guidance
Farms are not registered
Outbreak investigations typically only performed
on interstate commerce
7. Food is Complicated
Ubiquitous exposure
Sheer number of producers
Multitude of highly varied products
Even within “fresh produce”, commodity attributes vary widely
Emerging risks
Interregional and international – trade effects
Small vs. big business
Concentrated production Number of facilities vs. volume of
production
Consumer choice
Rationality?
8. Data: Estimating Costs
Estimating costs is the “easy” part
The marginal costs of capital and labor usually available through
standard sources and estimation methods are not controversial.
Estimating baseline practices is the most difficult step
Also perhaps the most important
Necessary information often proprietary
No single source
Informal or formal surveys can be unreliable
An accurate, precise estimate is often impossible to produce
It is easy to overlook important details
How do you clean a layer house in the middle of winter in North
Dakota?
9. Data: Estimating Benefits
Estimating the baseline burden of illness is not the hard part…
Surveillance methods have come a long way, but…
Attribution and the extent of under reporting is still difficult to estimate
accurately and precisely
Science necessary to quantify marginal benefits of regulation is
often very uncertain
Emerging issues will have very little developed scientific study
Lab results do no necessarily translate to the field
Complimentary effects are extremely difficult to disaggregate, even
with rigorous study.
No consensus on the “correct” valuation metric for illness and
mortality
Absolutely necessary to compare alternative policies
Cost of illness
Willingness to pay
Quality adjusted life years
10. Legal Constraints on Regulatory Options
First Amendment
Legal limitations and precedent: Bioterrorism
regulations
Language in congressional bills
Unclear what the impact of yet to be ratified bills
will be
11. Economics? Who Invited You?
Cost Effectiveness of Safety, Toxin Control, and Other Regulations
Source: Hahn and Tetlock (2007), who updated from Morral (2003)
12. What is Wrong With This Picture?
It is an implied measurement of the
unobservable:
Efficiency of regulation
Across time
Across regulations
For a true measure of the benefit of economic
analyses, we need to observe what happens
during the rulemaking process
Example –The Egg Rule
13. What Makes a Good Analysis
Public health problem defined
baseline impact of hazard
baseline practices that potentially contribute to or mitigate the
problem
Why regulation is the best way to address the problem
Regulatory options for addressing the problem
Taking into account other regulations
Specific changes in behavior of all affected
Costs of changes in behavior
Effectiveness of changes in behavior
Value of the reduction in the public health problem
Quantified estimates where possible
Variability and uncertainty in estimates
14. Take Away Points
Developing sound, efficient, science based
policy is no easy task
Economists are trained to analyze a prblem
from every angle.
Seek out and synthesize relevant data to inform
decision making
Ask difficult questions
Point out constraints in the optimization problem
“What do we get for that?”