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evidence-based medicaid: health care that works

Jeff Thompson MD MPH Chief Medical Officer Washington Medicaid Program. 2. The Problem Statement: Cadillac's vs. Chevys: How to Compare?. Jeff Thompson MD MPH Chief Medical Officer Washington Medicaid Program. 3. How Does WA Medicaid's grade the Evidence and Make Authorizations?(WAC 388-501-0165) .

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evidence-based medicaid: health care that works

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    1. Evidence-Based Medicaid: Health Care That Works What’s effective and affordable health care?

    2. Jeff Thompson MD MPHChief Medical OfficerWashington Medicaid Program 2

    3. Jeff Thompson MD MPHChief Medical OfficerWashington Medicaid Program 3

    4. Jeff Thompson MD MPHChief Medical OfficerWashington Medicaid Program 4

    5. Jeff Thompson MD MPHChief Medical OfficerWashington Medicaid Program 5 What is Missing in Comparative Effectiveness Decisions: Agreeing on Anchors A careful analysis of the hierarchies of evidence (we do a good job) A rigorous assessment of quality (it’s getting better) A determination of efficacy & effectiveness (the real world is unknown) A side by side balance against harm (harm vs. benefit - no agreement) A consideration of cost and cost benefit (who’s cost and value) A clinical expertise of special populations (is there a safety valve)

    6. Jeff Thompson MD MPHChief Medical OfficerWashington Medicaid Program 6

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