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Avastin v. Lucentis: An Early Test Case For Medicare ACOs

Executive Summary

Medicare costs for covering Genentech's Lucentis for wet age-related macular degeneration will get heightened scrutiny now that a widely anticipated National Institutes of Health trial has confirmed that much-less-expensive treatment with the company's Avastin is as effective. Based on 2008 claims data, Medicare is spending about $500 million more on Lucentis than Avastin for treatment of wet AMD.

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Market & Industry Briefs

Brief summaries of recent medtech market and industry developments. This month we cover new clinical data on TAVI, declining CABG rates in US hospitals, and results from the CATT study comparing Lucentis and Avastin.

Medicare ACO Plan Could Improve Rx Compliance But Lacks Guidance On Drug Management Policies

Medicare-sanctioned accountable care organizations could significantly improve drug adherence among beneficiaries as a way to prevent more costly medical interventions later, under a widely-anticipated CMS proposal.


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