"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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Staff



275 Middlefield Road
Suite 200

Menlo Park, CA 94025

Tel: 650.327.2085
Toll-free: 877.571.3779
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

May 14, 2010   The Wall Street Journal  features an editorial by Dr. John Hornberger, addressing Dr. Mark Thornton's op-ed (May 7) entitled "The FDA vs. Bone Cancer Patients". The letter discusses effective sample size computation, and encourages more consideration of proven, robust statistical methods in FDA clinical trial evaluation. View article (PDF also available).

May 9, 2010   Cedar Associates LLC has been featured in the Silicon Valley / San Jose Business Journal, a leading source of comprehensive business news and in-depth analysis in the Bay Area. View article.

April 5, 2010   John Hornberger, MD, MS, has been accepted for membership to the American Society of Clinical Oncology (ASCO). As membership to this organization is exclusive to oncologists and oncology researchers, this achievement recognizes Dr. Hornberger's accomplishments in--and demonstrated commitment to--health economic research in the oncology field.

November 3, 2009   A manuscript titled “Economic implications of 21-gene breast cancer risk assay from the perspective of an Israeli managed healthcare organization,” co-authored by John Hornberger, MD, MS and Julie Doberne with Shmuel Klang, PhD has been accepted by Value In Health for publication. Read more.

September 14, 
2009   Economic evaluation of R-CVP, written by Dr. Hornberger in collaboration with Carolina Reyes (Genentech Inc.), Deborah Lubeck (ICON Clinical Research), and Nancy Valente (Genentech Inc.), favorably reviewed by the NHS Centre for Reviews and Dissemination (CRD). Read more.

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.

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