"Including evidence-based decision-making in the healthcare coverage process would ensure that use of new therapy and technology is tied to evidence of clinical benefit, resulting in a value-based health care system."

Rita Redberg, MD.
Health Affairs, February 2007

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275 Middlefield Road
Suite 200

Menlo Park, CA 94025

Tel: 650.327.2085
Fax: 650.327.1506
Email: info@cedarecon.com
Cedar Associates LLC provides life sciences organizations and companies with scientifically reliable and credible evidence on clinical outcomes and economics of services and technologies. We use state-of-the-art analytical techniques and seek to present our findings in a manner that is readily understood by a diverse audience, such as physicians, patients, managers, and third-party payers and decision-makers.

We have close collaborations with numerous international renowned experts at local, regional and national institutions (e.g., Stanford University, UC Berkeley, California State University East Bay, Sutter Health, Veterans’ Affairs Hospitals). These collaborations not only expand the scope of state-of-the-art expertise on projects, but increase our capacity to readily staff projects.

Cost Effectiveness

We provide state-of-the-art analyses of the economic implications of medical technologies (pharmaceuticals, devices, and diagnostics) and services. Based on a strong foundation in decision analyses, epidemiology, statistics, and econometricscombined with more than a decade of experience working in and with life sciences companieswe generate analyses that are useful for a diverse array of stakeholders.

Budget Impact

Third-party payers routinely need and request high-quality evidence on the potential fiscal implications of funding new and emerging health technologies and services. We believe that such discussions should be based on the foundation of "principled negotiations." Analyses to inform these discussions require a mutual understanding and agreement on diverse set of inputs. We have extensive experience obtaining reliable information to such question and developing credible fiscal forecasts.

Strategy

Cedar Associates LLC assists company decision makersfrom regulatory, clinical, commercial, and reimbursement teamsto develop an effective strategy for commercializing a new product. Our emphasis is primarily on the economic and reimbursement strategy, and our experience reveals that it must be informed from input of other teams.

Evidence Synthesis

We conduct systematic reviews of medical literature according to the standards expected from major stakeholders. Our staff retrieves pertinent publications and abstracts from international congresses. We also rely on clinical and economic experts to fill in potential gaps from using electronic databases. We generate evidence reports that have been submitted for use in AMCP dossiers and NICE submissions, and for reports to regulatory agencies, clinical investigators, and senior managers.

Statistics and Econometric Analysis

Our staff has experience programming in SAS, STATA, S-Plus, Mathematica, and R-statistical language. Our analyses have been published in peer-reviewed journals, submitted to FDA, and submitted to reimbursement agencies (CMS, UK NICE). We have experience with survival models, ANOVA models, multivariate regression (Cox, GLM, GEE, fixed and random effect models, logistic), time series, and Bayesian methods and forecasting. 
PRESS RELEASES

June 26, 2009   Policy analysis by John Hornberger, MD, MS, on American health care reform was featured in the May/June 2009 issue of ISPOR connections. Read more.

May 5, 2009
  Molecular Diagnostics cites Cedar Associate LLC's economic analysis of Genomic Health's Oncotype DX as a "gold standard in novel diagnostics economic analysis." Read more.

April 23, 2009  
JIAPAC publishes Cedar manuscript coauthored by Ashwini Shewade, MS, John Hornberger, MD, MS, and John Bartlett, MD, which proposes practical solutions to barriers to antiretroviral treatment in resource-limited settings. Read more.

April 10, 2009   John Hornberger, MD, MS, founder of Cedar, will be presenting a session on Pharmaeconomics, Cost Effectiveness, and Outcome Analysis for Personalized Medicine at the Drug Information Association's 45th Annual Meeting. Read more.

February 18, 2009   Poster coauthored by Cedar Associates Research Analyst, Julie Doberne, on capsule endoscopy was accepted for presentation at Digestive Disease Week. Read more.

February 9, 2009   Cedar presents report to Government Accounting Office (GAO) on the financial implications of home hemodialysis. Read more.

COMPANY UPDATES

June 24, 2009   Presentations from the  ISPOR Conference and the Bio2Device Group meeting have been uploaded here.

Leona Chan, a graduate of UC Berkeley's Public Health Policy and Management program, joins the Cedar team with extensive experience in both the research and reimbursement field.


April 26, 2009
  Cedar Associates LLC welcomes Richard Hornberger, Mark Friedmann, and Tamara Love to the Cedar team. They bring over 20 years of industry experience across such areas as project management, business development, and administration, to support the company's growth.

PAST EVENTS


June 25, 2009
BioEconomy Summit
At the BioEconomy Summit at Santa Clara University in Santa Clara, California, Dr. Hornberger will be on the panel of Healthcare Policy Session 1: Reimbursement and Healthcare Reform.


June 23, 2009
DIA 45th Annual Meeting
At this year's annual Drug Information Association meeting, Dr. Hornberger will be presenting a session on "Pharmacoeconomics, Cost Effectiveness, and Outcome Analysis for Personalized Medicine" in San Diego, California.
Click here for press release.

June 20, 2009
ISPOR 14th Annual International Meeting
Dr. Hornberger (Principal/Founder) is Chair of the Scientific Program for the 13th Annual Meeting of the International Society of Pharmacoeconomic Research (ISPOR) to be held in Orlando, FL on May 16 to 20 (Click here for more information). He will be moderating the session entitled "A roadmap for knowing what works in health care: Will a US National clinical effectiveness center show the way?" during which a recent report recommended to the United States Congress to establish a single national clinical effectiveness assessment entity will be discussed and debated.

June 20, 2009
MedImmune Advisory Panel
Dr. Hornberger (Principal/Founder) will be serving on MedImmune's Systemic Lupus Erythematosus Value and Health Economics Advisory Panel, to be held in the Washington Marriott at Metro Center.

June 9, 2009
Bio2Device Group Health Technology Assessment (HTA) Presentation
Cedar will be presenting at the Bio2Device Group, a Silicon Valley organization that focuses on the convergent needs of engineers, scientists, business, regulatory and other biospace professionals working in the biotechnology, medical device, diagnostics and pharmaceutical industries.

June 2, 2009
Digestive Disease Week
Presentation on "Evidence Quality Assessment for Use of Capsule Endoscopy (CE) in Suspected Small Bowel Crohn’s Disease (CD)" to be held at the Digestive Disease Week conference in Chicago, Illinois.



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