{"id":"https://openalex.org/W2956928845","doi":"https://doi.org/10.1007/s11606-019-05149-6","title":"Medicare Spending on Drugs and Biologics Not Recommended for Coverage by International Health Technology Assessment Agencies","display_name":"Medicare Spending on Drugs and Biologics Not Recommended for Coverage by International Health Technology Assessment Agencies","publication_year":2019,"publication_date":"2019-07-16","ids":{"openalex":"https://openalex.org/W2956928845","doi":"https://doi.org/10.1007/s11606-019-05149-6","mag":"2956928845","pmid":"https://pubmed.ncbi.nlm.nih.gov/31313117","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6848610"},"language":"en","primary_location":{"id":"doi:10.1007/s11606-019-05149-6","doi":"https://doi.org/10.1007/s11606-019-05149-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-019-05149-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-019-05149-6.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://link.springer.com/content/pdf/10.1007/s11606-019-05149-6.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086415236","display_name":"Alexander C. Egilman","orcid":"https://orcid.org/0000-0002-5343-4908","observed_orcids":["https://orcid.org/0000-0002-5343-4908"]},"institutions":[{"id":"https://openalex.org/I1323778983","display_name":"Yale New Haven Hospital","ror":"https://ror.org/05tszed37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1323778983","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexander C. Egilman","raw_affiliation_strings":["Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA","Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I1323778983"]},{"raw_affiliation_string":"Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033521935","display_name":"Joshua David Wallach","orcid":"https://orcid.org/0000-0002-2816-6905","observed_orcids":["https://orcid.org/0000-0002-2816-6905"]},"institutions":[{"id":"https://openalex.org/I1323778983","display_name":"Yale New Haven Hospital","ror":"https://ror.org/05tszed37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1323778983","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua D. Wallach","raw_affiliation_strings":["Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA","Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA","Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, 06510, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I1323778983"]},{"raw_affiliation_string":"Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004332544","display_name":"Sanket Shishir Dhruva","orcid":"https://orcid.org/0000-0003-0674-2032","observed_orcids":["https://orcid.org/0000-0003-0674-2032"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sanket S. Dhruva","raw_affiliation_strings":["Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, 94115, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, 94115, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047954147","display_name":"Gregg Gonsalves","orcid":"https://orcid.org/0000-0002-5789-9841","observed_orcids":["https://orcid.org/0000-0002-5789-9841"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregg S. Gonsalves","raw_affiliation_strings":["Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA","Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, 06510, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031832642","display_name":"Joseph S. Ross","orcid":"https://orcid.org/0000-0002-9218-3320","observed_orcids":["https://orcid.org/0000-0002-9218-3320"]},"institutions":[{"id":"https://openalex.org/I1323778983","display_name":"Yale New Haven Hospital","ror":"https://ror.org/05tszed37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1323778983","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210117499","display_name":"Yale New Haven Health System","ror":"https://ror.org/01s1hsq14","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210117499"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph S. Ross","raw_affiliation_strings":["Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA. joseph.ross@yale.edu","Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA. joseph.ross@yale.edu","Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, 06510, USA. joseph.ross@yale.edu","National Clinician Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, 06510, USA. joseph.ross@yale.edu","Section of General Medicine, Department of Internal Medicine, Yale School of Medicine, P.O. Box 208093, New Haven, CT, 06520, USA. joseph.ross@yale.edu","Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA. joseph.ross@yale.edu","institution_ids":["https://openalex.org/I1323778983","https://openalex.org/I32971472","https://openalex.org/I4210117499"]},{"raw_affiliation_string":"Collaboration for Research Integrity and Transparency, Yale Law School, New Haven, CT, 06510, USA. joseph.ross@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, 06510, USA. joseph.ross@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"National Clinician Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, 06510, USA. joseph.ross@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Section of General Medicine, Department of Internal Medicine, Yale School of Medicine, P.O. Box 208093, New Haven, CT, 06520, USA. joseph.ross@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, CT, 06510, USA","institution_ids":["https://openalex.org/I1323778983"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3760,"currency":"USD","value_usd":3760},"apc_paid":null,"fwci":0.9349,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.82638229,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"34","issue":"11","first_page":"2319","last_page":"2321"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.7621999979019165,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.7621999979019165,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.218299999833107,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.007400000002235174,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/biologics","display_name":"biologics","score":0.6299999952316284},{"id":"https://openalex.org/keywords/medicare-part-d","display_name":"Medicare Part D","score":0.7870000004768372},{"id":"https://openalex.org/keywords/medicare-part-b","display_name":"Medicare Part B","score":0.8500000238418579},{"id":"https://openalex.org/keywords/out-of-pocket-drug-costs","display_name":"out-of-pocket drug costs","score":0.6579999923706055}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9515838623046875},{"id":"https://openalex.org/C2776291444","wikidata":"https://www.wikidata.org/wiki/Q6806635","display_name":"Medicare Part D","level":4,"score":0.45971065759658813},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.44655197858810425},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4183596968650818},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4020896553993225},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.185663104057312},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.17339876294136047},{"id":"https://openalex.org/C2778858636","wikidata":"https://www.wikidata.org/wiki/Q1643563","display_name":"Prescription drug","level":3,"score":0.16625049710273743},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001688","descriptor_name":"Biological Products","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013673","descriptor_name":"Technology Assessment, Biomedical","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013673","descriptor_name":"Technology Assessment, Biomedical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014943","descriptor_name":"Global Health","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D016527","descriptor_name":"Drug Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D054524","descriptor_name":"Medicare Part D","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s11606-019-05149-6","doi":"https://doi.org/10.1007/s11606-019-05149-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-019-05149-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-019-05149-6.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6848610","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6848610","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Gen Intern Med","raw_type":"Text"},{"id":"pmid:31313117","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31313117","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of general internal medicine","raw_type":"Letter"}],"best_oa_location":{"id":"doi:10.1007/s11606-019-05149-6","doi":"https://doi.org/10.1007/s11606-019-05149-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-019-05149-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-019-05149-6.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8999999761581421}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000905448","display_name":"Yale Clinical and Translational Science Award","funder_award_id":"UL1TR001863","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320308380","display_name":"Yale University","ror":"https://ror.org/03v76x132"},{"id":"https://openalex.org/F4320311571","display_name":"Laura and John Arnold Foundation","ror":"https://ror.org/04hqxh742"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2956928845.pdf","grobid_xml":"https://content.openalex.org/works/W2956928845.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W1988434973","https://openalex.org/W2102785157","https://openalex.org/W2761621715"],"related_works":["https://openalex.org/W4320490469","https://openalex.org/W4247995740","https://openalex.org/W2903144156","https://openalex.org/W1965870971","https://openalex.org/W17862392","https://openalex.org/W4414706195","https://openalex.org/W4366241520","https://openalex.org/W2066348591","https://openalex.org/W4281400172","https://openalex.org/W4392285207"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-07-23T00:00:00"}
