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Cost Containment and the Patient Protection and Affordable Care Act - page 22 / 30

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How will PPACA reduce volume?

Patient-Centered Outcomes Research Institute (§ 6301)

Created to promote “comparative-effectiveness research”

May not recommend coverage changes or other policies based on its analyses, but Medicare and Medicaid may consider the Institute’s analyses in determining coverage policies

May not use a “dollars-per-quality adjusted life year . . . as a threshold” nor may HHS employ such a measure as a threshold for coverage.

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