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Translating medical effectiveness research into policy: lessons from the California Health Benefits Review Program
Janet M Coffman1, Mi-Kyung Hong, Wade M Aubry
1Department of Family and Community Medicine, University of California, San Francisco, USA. Janet.Coffman@ucsf.edu
The Milbank Quarterly
|December 22, 2009
Summary
The California Health Benefits Review Program (CHBRP) provides valuable medical effectiveness reviews for health policy decisions. It successfully delivers timely, independent analyses to legislators navigating complex health insurance benefit mandates.
Area of Science:
- Health Policy Research
- Evidence-Based Policymaking
- Medical Effectiveness Analysis
Background:
- Legislatures globally increasingly rely on medical literature reviews for health policy.
- The California Health Benefits Review Program (CHBRP) analyzes health insurance benefit mandate bills.
- CHBRP assesses medical effectiveness, cost impact, and public health implications.
Purpose of the Study:
- To discuss the California Health Benefits Review Program (CHBRP).
- To clarify efforts in providing policymakers with evidence of medical effectiveness.
- To illustrate the use of CHBRP reports with examples.
Main Methods:
- Based on authors' experience with CHBRP reviews and program evaluations.
- Utilizes examples from CHBRP reports to illustrate observations.
- Includes a review of published literature on evidence incorporation in policymaking.
Main Results:
- CHBRP reports are valued and routinely used by California legislators and stakeholders.
- The program leverages existing meta-analyses and systematic reviews.
- Key lessons learned include recognizing literature limitations, communicating evidence complexity, managing expectations, and understanding review reactivity.
Conclusions:
- CHBRP successfully produces useful medical literature reviews within legislative time constraints.
- The program offers independent analyses, aiding legislators in policy choices.
- CHBRP enables informed decision-making beyond conflicting stakeholder information.
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