Preview

Earlier this week, we released a paper ahead-of-print examining the accelerated approval of cancer drugs. In the article, Richard Frank and coauthors examine a subset of drugs covered by Medicare Part B.

They find that drugs that complete the accelerated approval process and positive confirmatory trials, indicating efficacy, do not experience commensurate increases in prices.

“Regardless of the statistical model, there was no systematic relationship between price and obtaining a positive confirmatory trial during the study period,” the authors write.

Frank and coauthors argue that this lack of incentive indicates a market failure. Their results demonstrate that there are few economic payoffs to undertaking costly activities such as confirmatory trials.

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Earlier this week, Charlotte Probst of the University of Toronto’s Centre for Addiction and Mental Health wrote an essay for the Health Affairs Today newsletter discussing socioeconomic inequalities in US life expectancy.

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In Health Affairs Forefront, authors cover a variety of topics including the Georgia Access Model, the No Surprises Act, and Medicare reform.

In one article, Katie Keith discusses CMS’s suspension of the Georgia Access Model, which beginning in the 2023 plan year would have eliminated HealthCare.gov without transitioning to a state-based marketplace.

Keith also writes about a recent federal district court decision that upheld the No Surprises Act against a challenge by a New York surgeon who argued that parts of the law were unconstitutional.

On the topic of Medicare, Donald Crane and George Halvorson respond to Donald Berwick and Richard Gilfillan's article about Medicare Advantage, and propose two paths for policy makers working on Medicare reform.

We publish new articles on Forefront every week. Whether you're an existing Health Affairs author or considering submitting an article, we're here to help. Learn more about how you can submit your articles for consideration, and sign up to receive alerts about requests for abstracts, job opportunities, and more.

About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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