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Cost Containment and the Patient Protection and Affordable Care Act - page 23 / 30

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Potential impact of PCORI

Comparative-effectiveness and cost-effectiveness decisions are controversial

Mammography screening guidelines in 2009

US Preventive Services Task Force recommended that routine screening begin at age 50 instead of age 40

Oregon Health Care Plan

Ended up with fairly generous “basic” coverage

National Institute for Health and Clinical Excellence loses its authority to deny coverage for treatments based on costs after a decade of operation

The “tragic choices” problem

It’s difficult to make life-and-death decisions openly

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