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NEJM Catalyst: Knocking Down Barriers to Behavior Change

By CHIBEblog

“’To help people change behavior, we can think about either pushing them harder or lowering barriers to make it easier,’ says Kevin Volpp, Patient Engagement Theme Leader for NEJM Catalyst and founding Director of Penn Medicine’s Leonard Davis Institute Center for Health Incentives and Behavioral Economics. ‘My philosophy is, we should start by lowering barriers whenever possible.’ Lowering barriers to enable behavior change is more sustainable and takes friction out of the system, and it can be done through a variety of complementary strategies. Volpp highlights seven of these: Changing defaults Simplifying complicated processes Reducing out-of-pocket costs Using technology in supportive…

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The Need For A New Patient-Centered Decision Tool For Value-Based Treatment Choices In Oncology

By CHIBEblog

Over the past decade, breakthroughs in oncology have improved overall and progression-free survival for cancer patients. The rapid pace of drug development and approval has made available multiple therapeutic options for a wide range of cancers. In some cases, these options differ on attributes other than efficacy, such as route of administration (for example, oral versus infusion) or type of side effects. At the same time, the high costs of these novel anticancer medications have placed considerable financial pressure on both the US health care system and—with the continuing insurance trends toward high deductibles and coinsurance levels—on patients. Recognizing that…

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Changing Behaviors to Change Health

By CHIBEblog

Five thousand hours. That’s how long the average person spends each year awake and not in front of a doctor. People tend to think of health care as the time you spend getting checkups or going to a doctor’s office or hospital when you’re sick. The truth is your health is substantially more dependent on the time you’re not around your doctor than when you are. It’s about the choices you make during those 5,000 waking hours.Influencing people’s lifestyles and behavior during those hours is the mission of David Asch, MD, MBA. Asch is the director of Penn’s Center for…

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Reducing Inappropriate Prescribing: Q&A with Adam Sacarny, PhD

By CHIBEblog

At a recent CHIBE/Health Policy Work-in-Progress Seminar, guest speaker Adam Sacarny, PhD discussed behavioral techniques for reducing inappropriate prescribing among clinicians, particularly in light of the ongoing opioid epidemic in the United States. Dr. Sacarny sat down for a short interview after his seminar to discuss how academics can work with federal agencies and insurers to address this issue.

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The Impact of High Costs on Patients Filling Prescriptions for Oral Cancer Drugs

By CHIBEblog

Patients with cancer may have more options for oral cancer medications, but high out-of-pocket costs still present a barrier to access, according to a new study in Journal of Clinical Oncology. Researchers reviewed claims from 2014 to 2015 from a large, proprietary, integrated database that included Medicare and commercial insurance enrollees for 38 oral anticancer agents. They looked at claim reversal (patients failing to purchase an approved prescription), delayed initiation, and abandonment. The overall abandonment rate was 18% and rates of claim reversal ranged from 13% to 67% depending on the out-of-pocket (OOP) costs. The study found that 10% of…

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