It's a huge natural experiment. We're going to have a research agenda for a lifetime. |
The Center for Medicare and Medicaid Services (CMS) should commission rapid studies to examine the impact of formulary restrictions and changes in cost sharing on the use of essential medication and health outcomes. |
The findings also reflect the substantial environmental changes that have occurred in medicine over the past several decades. Evidence-based medicine has been widely adopted and quality assurance techniques, such as disease management and performance evaluation, are frequently used. More experienced doctors may have less familiarity with these strategies and may be less accepting of them. |