Introduction:

Human Recombinant Erythropoietin in the Medicare Patient Population

Draft Minutes

Sixteenth Meeting of the
Medical Technology and Practice Patterns Institute's
Technical Advisory Committee (TAC)
Wednesday, Nobember 16, 2005

August 15th Agenda

Background Material:

Pre-epoetin Hematocrit Profile -

Table 2-3-Distribution of Hematocrit Levels of Dialysis Patients, by Age, January 1988(a) Percentage of patients with specified hematocrit level

Research Progress -

Thamer M, Zhang Y, Kaufman J, Cotter D, Dong F, Hernan MA.
Dialysis facility ownership and epoetin dosing in patients receiving hemodialysis.
JAMA. 2007 Apr 18;297(15):1667-74.


Cotter D, Thamer M, Narasimhan K, Zhang Y, Bullock K.
Translating epoetin research into practice: the role of government and the use of scientific evidence.
Health Aff (Millwood). 2006 Sep-Oct;25(5):1249-59.


Thamer M, Zhang Y, Kaufman J, Stefanik K, Cotter DJ.
Factors influencing route of administration for epoetin treatment among hemodialysis patients in the United States. Am J Kidney Dis. 2006 Jul;48(1):77-87.

Dose-Response -

Dose-response based on phase II study

Confounding -

Does X Really Cause Y? By Bryan Dowd and Robert Town September 2002

Cotter DJ, Stefanik K, Zhang Y, Thamer M, Scharfstein D, Kaufman J.
Hematocrit was not validated as a surrogate end point for survival among epoetin-treated hemodialysis patients. J Clin Epidemiol. 2004 Oct;57(10):1086-95.


Robins JM, Hernan MA, Brumback B (2000). Marginal structural models and causal inference in epidemiology. Epidemiology, 11(5):550-560.

Bundling -

SEC. 637. DEVELOPMENT OF ESRD BUNDLING SYSTEM AND QUALITY INCENTIVE PAYMENTS.

EPOETIN DOSE-RESPONSE RELATIONSHIP - WHY TIME-DEPENDENT ADJUSTMENT IS NECESSARY

United States Government Accountability Office (GAO) Report to the Chairman, Committee on Ways and Means, House of Representatives END-STAGE RENAL DISEASE
Bundling Medicare's Payment for Drugs with Payment for All ESRD Services Would Promote Efficiency and Clinical Flexibility, November 2006


The Renal Support Network (RSN)
Top 10 Concerns Regarding the Potential Bundling of
ESRD Services and Its Impact on Patients


A Framework for Bundling Options
Discussion Paper for the -623e Advisory Board
Prepared by CMS/ORDI/MDPG
May 24, 2005MMA


MedPAC Outpatient Dialysis services payment system Payment Basics September 2006

HR 3162 THE CHILDREN'S HEALTH AND MEDICARE PROTECTION ACT OF 2007
SECTION-BY-SECTION ANALYSIS


Ways and Means Truth Squad: Anemia Management Care

Future TAC meeting topics -

The 2005 Nationwide Blood Collection and Utilization Survey

End Stage Renal Disease (ESRD) Quality Initiative
Quality Measures
Clinical Performance Measures
Consumer Qs and As for Dialysis Facility Compare