The timeliness of health plan drug coverage policy changes to FDA label revisions
AbstractIntroduction. Health plan coverage policies determine specialty drug access and should reflect evolving standards of care; however, the timeliness
How quickly do health plans update coverage when FDA revises specialty drug labels?
We analyzed ~1,300 coverage decisions from 2019-2022. ~30% of policies already aligned w/ label changes. Plans took a median 30 weeks to update other policies, were faster when labels narrowed
tinyurl.com/2vzn95k3
25.02.2026 15:20 β
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FDA approvals of specialty drugs, 2000-2024
Specialty drugs, used to treat complex conditions such as cancer, autoimmune disorders, and rare diseases, including both biologics and high-cost small mol
Studies about specialty drug spending typically focus on cost and utilization trends, which can obscure how the increasing number of specialty drug approvals contributes to these costs.
Read our new study exploring trends in FDA specialty drug approvals to learn more: tinyurl.com/yx464kda
23.02.2026 21:54 β
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Don't miss an opportunity to work with our renowned faculty! Applications for our 2026 CEA Registry Summer Fellowship close March 5th.
What is the Fellowship program like? 2025 Fellowship alumna Taylor (Hao-Hsin) Huang shares her experience at www.youtube.com/watch?v=OzEZ...
23.02.2026 20:49 β
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CEVR's 2025 "By the Numbers" highlights our impressive output for last year:
20.02.2026 20:59 β
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CEVRβs Tara Lavelle, PhD, joined the Nemours Well Beyond Medicine Podcast to discuss her research showing that rapid genomic screening for critically ill infants can save money versus standard testing.
Listen here tinyurl.com/4ds6ry8h
17.02.2026 20:50 β
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Drug Prices, Rebates, and Health Plan Coverage Restrictions
This cross-sectional study examines the association of drug prices and rebates with health plan coverage restrictions in the US.
How much do drug prices and rebates shape health plan coverage decisions?
We analyzed ~6,700 coverage decisions across 161 specialty drugs to see how net prices, rebates, and market characteristics relate to coverage restrictions by large US commercial health plans.
Read at: tinyurl.com/2f3wm34t
06.02.2026 16:45 β
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The Tufts-CEVR HEOR Leaders Survey: Perspectives on Organizational Support and Evidence Opportunities - Center for the Evaluation of Value and Risk in Health
How is the #HEOR function evolving inside pharmaceutical companies and what does that mean for evidence generation, decision-making, and careers in the field?
Read Part 2 of our report from Tufts-CEVRβs HEOR Leaders survey to find out: tinyurl.com/2skh73vu
03.02.2026 14:55 β
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The Tufts-CEVR HEOR Leaders Survey: Health Policy Challenges and Opportunities - Center for the Evaluation of Value and Risk in Health
How are pharma #HEOR teams informing industry responses to developments like the #IRA, state #PDABs, and rules for sharing economic evidence with payers?
Read CEVRβs report exploring the results of our new national survey of industry HEOR leaders to find out: tinyurl.com/ywjsntyy
21.01.2026 13:35 β
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Grad students: get a head start on summer by applying for our virtual CEA Registry fellowship. Learn more and apply today: cevr.tuftsmedicalcenter.org/news/2026-re...
#internships #fellowship #research #healthecon
@pattysynnott.bsky.social
15.01.2026 19:18 β
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β° One week left to submit nominations for Tufts-CEVR's 2025 CEA Paper of the Year Award. Don't miss the chance to have your work recognized!
08.01.2026 20:03 β
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The Tufts-CEVR CEA Registryβs search function can save weeks of effort on lit reviews. Hear how Tara Lavelle used it for a study on vaccine spillover effects.
Access is free for #ISPOR members who are students or who are academic/govβt researchers in LMICs.
More at cear.tuftsmedicalcenter.org
07.01.2026 19:09 β
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CEVRβs Tara Lavelle: Tufts-CEVRβs CEA Registry is a powerful, tool that can inform evidence-based health benefit design, new research proposals, and judgments on the value of health care interventions.
More at cear.tuftsmedicalcenter.org
16.12.2025 17:56 β
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Communication of Launch Prices by Drug Companies, 2022-2024 | AJMC
Two-thirds of pharmaceutical companies did not proactively release the launch price of their medications from 2022 to 2024.
Conversations about drug pricing/value benefit from launch price transparency. New CEVR research finds that, from 2022-2024, pharma companies disclosed 1/3 of drug launch prices proactively and another 1/3 reactively, suggesting room for improvement.
More at tinyurl.com/dsfjft4k
15.12.2025 14:25 β
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What is the outlook for US payer coverage of specialty drugs in 2026? CEVRβs James Chambers will share insights from our SPEC database during a βcanβt missβ webinar next week.
When: December 18, 12-12:30 pm ET
Register at tinyurl.com/56959f62
11.12.2025 16:34 β
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Do Medicareβs IPAY 2027 Negotiated Drug Prices Reflect Value For Money? | Health Affairs Forefront
Examining whether negotiated prices align with value is one way of asking if CMS βgot pricing rightβ and if the Medicare program is getting its moneyβs worth.
The Centers for Medicare and Medicaid Services (#CMS) recently released the maximum fair prices (#MFP) for the 15 #IPAY 2027 drugs. How closely do they align with value-based prices?
New CEVR research found wide variation, which sends muddled signals to drugmakers about value.
tinyurl.com/3jsuybc7
11.12.2025 13:32 β
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The unintended consequences of the inflation reduction act on biosimilar market incentives and Medicare savings
AbstractIntroduction. The Inflation Reduction Act (IRA) authorizes Medicare price negotiation but includes a βspecial ruleβ deferring negotiation for biolo
Excited to announce 1st paper in new Health Affairs Scholar Series #HAS @Health_Affairs by @TuftsCEVR. For almost 20 years, CEVR has been leader on issues pertaining to value, cost-effectiveness, and risk tradeoffs in health care decisions. Watch for more! academic.oup.com/healthaffair...
09.12.2025 20:01 β
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The βPharm-To-Tableβ Movement For Prescription Drugs: Promising Or Performative? | Health Affairs Forefront
Direct-to-patient programs offer a glimpse of an alternative future in which the consumer or the employer is brought closer to the manufacturer of the medicine prescribed.
Some drugmakers are rolling out βpharm-to-tableβ programs to sell drugs directly to patients at lower costs, but how much will these programs to improve access and price transparency?
Read CEVRβs commentary on the promises and pitfalls of these programs.
tinyurl.com/mrv8dczp
05.12.2025 15:55 β
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Tufts-CEVRβs 8th Annual Cost-Effectiveness Analysis Paper of the Year Award
The submission deadline is January 15th, 2026. Click next to proceed.
Did you publish a #CEA in 2025? Applications are now open for the 8th annual Tufts-CEVR CEA Paper of the Year Award.
Est. application time: <5 mins
Award: $500
Due: January 15th: forms.gle/hiPo3nYSE8rV...
#HEOR #healthecon #HTA
03.12.2025 19:15 β
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Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
Only 25% of cost-effectiveness analyses published from 2013-23 (n=7,800) omit societal costs (productivity, caregiving, travel, etc.), despite consensus guidelines recommending their inclusion.
Read at tinyurl.com/3htu3zn9
01.12.2025 15:57 β
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The Inflation Reduction Act (#IRA) allows #Medicare to defer negotiation for drugs with expected biosimilar competition within 2 years of selection, but this provision may unintentionally reduce long-term savings according to new research from CEVR.
More at: tinyurl.com/nptjvxzb
24.11.2025 17:28 β
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CEVR Participation at ISPOR EU 2025 - Center for the Evaluation of Value and Risk in Health
Come see CEVR's faculty at ISPOR Europe 2025 in Glasgow, Scotland.
Details of our speaking engagements can be found at tinyurl.com/4em5ak2t
#ISPOREurope
04.11.2025 19:17 β
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CEVR Health Policy Seminar with Boshen Jiao, PhD, MPH - Center for the Evaluation of Value and Risk in Health
Join CEVR on Nov. 5 from 2:30-3:30 pm ET for a health policy seminar from Boshen Jiao, PhD, MPH. Dr. Jiao will discuss the inclusion of productivity, informal caregiving time, and future unrelated medical costs in economic evaluations.
More at: tinyurl.com/4ru3pmd8
24.10.2025 18:47 β
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CEAs of SMA treatments frequently omit the effects of bereavement on caregivers, potentially undervaluing these interventions. Our new survey of bereaved parents better quantifies their experience of grief to inform future CEAs.
Read more at: tinyurl.com/2mcs6taa
21.10.2025 18:45 β
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The death of a child with SMA is a life-changing experience for parents, impacting their outlook on life, health, relationships, employment. New qualitative research explores the impacts of grief and strategies that help bereaved parents manage the loss of their child.
Read: tinyurl.com/mw2s2ezw
20.10.2025 14:24 β
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Going to AMCP 2025? Come see presentations by @mollytoba.bsky.social, Daniel Enright, and Angela Lin of CEVR's SPEC Team!
#AMCPNexus
13.10.2025 14:01 β
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Variation in US Commercial Health Plan Coverage Restrictions for Cell and Gene Therapies
This Viewpoint examines variations in US commercial health plan coverage restrictions for cell and gene therapies.
US commercial payers vary in how they cover cell and gene therapies, according to a new study of 541 coverage policies by Tufts-CEVRβs SPEC team. 52% of policies had restrictions beyond FDA label, often limiting access to patient subgroups or requiring step therapy.
Read at: tinyurl.com/5dwhv726
30.09.2025 19:16 β
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