What CER Can and Cannot Tell Us about What We Should Do in Healthcare

6.15.2010  PRESENTER: Norman Daniels, PHD, Mary B. Saltonstall Professor and Professor of Ethics and Population Health, Harvard School of Public Health MODERATOR: James E. Sabin, MD, Director, Ethics Program, Harvard Pilgrim Health Care; Clinical Professor, Departments of Population Medicine and Psychiatry, HMS

Forum Abstract

Fairness in health care requires a reasonable benefit package. CER can improve fairness by identifying waste and improving quality. Yet, CER also faces both internal and external limitations. Internally, CER focuses on comparisons within disease or intervention groups, but is mute on the question of how to deal with high cost interventions or with efficiency comparisons across diseases. External limitations arise from the political culture and the lack of incentives to use CER’s results. After characterizing these internal and external limitations, Professor Daniels will highlight crucial points for the broader implementation of CER. (Professor Daniel's talk is talk is based on work with Harald Schmidt.)

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