Should we scrap private health insurance rebates and direct the funding to public hospitals? theconversation.com/should-we-sc...

Amazing evidence-based thread. A must read to help cut through the crap ideologies of health system funding reforms.

Deep down in the entrails of every large company, there is a single person copying cells from one spreadsheet onto another spreadsheet one by one and if they stop the company collapses #orgdesign

"Don’t trade off your fourth aim for some reduction in your ambition around the triple-aim" .. I still find this the most helpful articulation of the challenges with pursuing inputs to systems, as outcomes in and of themselves. www.ihi.org/library/blog... #quadrupleaim #quintubleaim #tripleaim #IHI

Academic authors, here's a peek into the black box of journal publishing from an journal editor if you can bear it:

Viewpoint: To effectively reduce drug costs, the US needs its own price negotiation framework rather than relying on international benchmarks, as proposed by the Trump administration. ja.ma/46auqa3

@nickdmiller.bskt.social shows us the level of analysis needed prior to reporting on publications, particularly those by peak bodies and lobby groups that don't pass any sort of peer review. I provided comments to the ABC RN but only had 30 mins to read the report .. www.abc.net.au/listen/progr...

We can’t save global health without saving democracy

Important reflections by @meganwarin.bsky.social on how precarious research funding partnerships push researchers to gloss over conflict and simply present positive narratives. Academics accept a perfunctory role to avoid being marginalised and debased. www.tandfonline.com/doi/full/10....

An oldie & a goodie from @prof-nancy-devlin.bsky.social on routine PROMs collection - I gather it was a little controversial when published because it showed differences in outcomes by providers, demonstrating how EQ5D can be used in improvement/incentives. onlinelibrary.wiley.com/doi/abs/10.1...

The 3Ps of government policy - Poetry, Prose, & Plumbing. @geoffmulgan.bsky.social explains why British politics' lack of interest in how things work explains why many things don't. open.substack.com/pub/geoffmul...

Great taxonomy of simple vs. complex (complicated?) decision-analytic model features. drugrepocentral.scienceopen.com/hosted-docum...

"Value-based healthcare is the equitable, sustainable and transparent use of the available resources to achieve better outcomes and experiences for every person". Thanks to the Centre for EBM at @ox.ac.uk for shielding us from Porter’s US-centric #VBHC pitfalls. www.cebm.ox.ac.uk/resources/re...

#NewPaperAlert from our @flindersuniversity.bsky.social team - Developing benchmarking indicators for Australian virtual emergency departments: a Delphi study. There's a lack of indicators to guide QI activities in virtual emergency medicine, so we developed some. emj.bmj.com/content/earl... #HSR

🚀 What is early health technology assessment (HTA)? A working group under @htaiorg.bsky.social defined #earlyHTA for the first time—via a 5-stage process + Delphi survey with 133+ respondents. Find out more:🔗 Open Access www.cambridge.org/core/journal...

“The paper by Grutters et al. on the definition of eHTA and its explanatory narrative helps to recapture the originally intended broad scope of technology assessment and place it into a contemporary context ...” - Clifford Goodman @htaiorg.bsky.social www.cambridge.org/core/journal...

Early HTA is ".. a health technology assessment conducted to inform decisions about subsequent development, research and/or investment by explicitly evaluating the potential value of a conceptual or actual health technology” @ijtahc.bsky.social @htaiorg.bsky.social www.cambridge.org/core/journal...

Just read about the @aushealthvalue.bsky.social #VBHCC2025 opener by A/Prof Abdullah - "Heart" is fine, but incentives shape behaviour. Clinicians & policymakers aren't knaves (mostly), yet none of us are bias-free knights. We need more #HealthEconomics rigour in the #ValueBasedCare #VBHC chatter.

I look forward to seeing people at the #EHMA2025 Conference hosted by l'EHESP in Rennes. I'm presenting on our AUS 🦘 experience with #EarlyEconomicEvaluation 📈 to help ensure services and research provide value🎯 ehmaconference.org @ehmainfo.bsky.social

(1/4) I've found ChatGPT o3 can analyse transcripts of conversations to produce Directed Acyclic Graphs (DAGs) of causal reasoning. Here's one of the contentious claims from today's @7ampodcast.com.au about #smokingcessation #vaping #taxes #blackmarkets & #violence 7ampodcast.com.au/episodes/fir...

The @economist.com highlight the Mounjaro case study: Found to be cost-effective, but the NHS argued it would crowd out other GP care & consume too much of the medicines budget. So, capacity constraints & spillovers weren't modelled, & the threshold price was wrong? www.economist.com/britain/2025...

Is NICE’s £20–30k/QALY threshold too high? £75bn on new cancer/immunology drugs gained 3.75M QALYs. Redirected to core NHS care, it could’ve gained 5M — 1.25M QALYs lost. The real costs are in unseen & often poorer patients who lose out to better-represented groups. www.thelancet.com/journals/lan...

".. advertising works by appealing to our emotions, not our brains. Don’t explain the details, just make me feel nice – or angry." "A leader who’s not game to do anything unpopular .. is a leader who’ll never make much progress solving our deeper problems.." www.smh.com.au/politics/fed...

I love this candid options appraisal process by Mooney & Henderson (1986). There are many fake hurdles to conducting evaluations. Challenging folks to "think again" is a must, as is discussing uncertainty & describing what they think can't be measured/valued. Ultimately - make a choice. Choose it.

After 8 rewarding years as an Associate Editor, I’m honoured to step up as a Deputy Editor at the International Journal of Technology Assessment in Health Care (@ijtahc.bsky.social), the official journal of @htaiorg.bsky.social. 📨 Manuscripts always welcome #HTA #HealthEconomics #EconomicEvaluation

I look forward to seeing people at the #EHMA2025 Conference hosted by l'EHESP in Rennes. I'm presenting on our AUS 🦘 experience with #EarlyEconomicEvaluation 📈 to help ensure services and research provide value🎯 ehmaconference.org @ehmainfo.bsky.social

Thank you ChatGPT. I shouldn’t give up my day job yet. #healtheconomics #HTA

Adapting to climate change & mitigating carbon footprint is a challenge for #healthsystems, globally. We've a new paper @aihi-mq.bsky.social that discusses 🔑actions for environmental & economic sustainability. link.springer.com/epdf/10.1007... #healthpolicy @jbraithwaite.bsky.social

New research shows ".. that US commercial health plans cite HTA evidence, thus suggesting that they may consider HTA recommendations when formulating coverage". Great to have this documented, so that we can improve inescapable allocative decisions. www.jmcp.org/doi/10.18553... @dano-hta.bsky.social

Apart from when used for pet projects, I suspect there's an implicit Commonwealth policy that #HealthServicesResearch is a responsibility of those who organise & deliver services i.e., the states. But not all states have the same spending power & evidence is needed across jurisdictional boundaries.

Prof. Jack Dowie shows how it was optimal for Humpty Dumpty to sit on the wall. www.easybest.org.uk/presentations/, taken from his Nov 2018 seminar "Deciding how to decide". #decisionanalysis #healtheconomics

The US is currently gutting the best research system the world has ever seen If Australia had built a world class university system rather than turning our institutions into degree mills cashing in on the intentional student market, we’d be in an excellent position to attract a lot of talent

"The happy compromise" on healthcare in Australia. An oldie but a goodie from Ron Tandberg that's still relevant to #auspol, today.

A brief history of ambulance 'ramping' at hospital emergency departments - doi.org/10.1111/imj.... #auspol

David Snowden of the Cynefin Framework ... "once you really start to understand complexity, you don’t say everything is complex - a lot of people are trying to do that - you say: human beings have learned to create order and that’s valuable” www.youtube.com/watch?v=_wao... @18:30

I've long found @mirandawolpert.bsky.social's FUPS concept to be a helpful way to explain the limitations of health services data ... bmcmedicine.biomedcentral.com/articles/10....

Important reporting in @thesaturdaypaper.com.au on hospital and NDIS funding, and some of the dynamics that sit behind trying to improve the system. 💯🎯 @squigglyrick.bsky.social nails it. 👉👉 www.thesaturdaypaper.com.au/news/politic...

'Innovations' aren't always terribly innovative.

"If you save money in the NDIS budget but the budget of Medicare [& states] goes up, are you actually saving money? .. As all things in Australian politics tend to do - How much is the budget for this one siloed thing?" @squigglyrick.bsky.social 🎯 open.spotify.com/episode/4i7n... #auspol #auspol2025

Was glad to contribute some thoughts to this article by Paige Cockburn on hospital waiting times and the unintegration of AUS health and social care ... www.abc.net.au/news/2025-01... #bedblock #healthsystems #integratedcare

Elisabeth Rosenthal of @kffhealthnews.bsky.social in @theatlantic.com on hospitals' pursuit of consumer & staff experience at the expense of population access & outcomes. Quadruple Aim thinking is yet another thing Aussies shouldn't import from the US. www.theatlantic.com/health/archi... #auspol

Design of economic evaluations along the development process - Thanks to @rich-norman.bsky.social who invited me to give this talk to the Australian Clinical Trials Alliance on #healtheconomics #FormativeEvaluation #earlyHTA #EarlyDialogue #LearningHealthSystems www.youtube.com/watch?v=oh-I...

Love when a health economist (@mattxsutton.bsky.social) uses a qualitative causal model (Directed Acyclic Graph) to critique econometric analyses and think through what parameters and data is needed for a robust model #HESGBristol #EconSky #HealthEconomics @hope-uom.bsky.social

Health Technology Management: Using routinely collected activity data and structured elicitation to iteratively plan, model, and implement services. A presentation for the Independent Health and Aged Care Pricing Authority's (IHACPA) Activity Based Funding Conference www.youtube.com/watch?v=w7vv...

Culture is king, and yet not something we routinely measure or include in evaluation. "Willingness to pursue dialysis at home relied on patients’ and carers’ ability to place their confidence in their kidney care teams rather than how services were organised." bmjopen.bmj.com/content/14/1...

Our recent Artificial Intelligence in Medicine publication looked at how the data mining of process-aware information systems (i.e., #processmining) can be used to inform healthcare decision-analyses, where economic outcomes are important. www.sciencedirect.com/science/arti... #AI #healtheconomics

Sometimes the combination of arrogance and ignorance is breathtaking. Yes, US health care has high admin costs; that's because it relies so much on private insurers. Govt-run health insurance has much lower overhead

One thing that econ critiques don't understand is there is no insult from them that economists haven't already heard from another economist in their professional career.

A recent paper on our work with Local #Hospital Networks to help develop service interventions. Despite difficulties in estimating opportunity costs & with the relevance of #PBMA & #HTA -type processes, economic evaluation 📈📉 can add value to local decision-making. link.springer.com/article/10.1...

This is worth a read.... www.bmj.com/content/387/...