Evidence Analysis

It is a challenge for health plans and clinicians to distill and analyze volumes of clinical evidence to determine likely clinical, financial, and risk impacts. This is what we do.

Accessed through the Hayes Knowledge Center, the Evidence Analysis Solution addresses the following fundamental questions to help our clients determine coverage positions:

  • Does the technology improve health outcomes?
  • Are there other benefits associated with the technology?
  • What harms might be associated with the technology?
  • Have patient selection criteria been established for the technology?
  • For which patients might the technology provide a benefit?

Transcutaneous Bone–Anchored Hearing Aids

Health Problem: In the United States, it is estimated that 48 million adults have some type of hearing loss. Hearing loss can be broadly classified as sensorineural (inner ear), conductive (external and middle ear), or mixed.

Technology Description: Transcutaneous bone–anchored hearing…

Esketamine (Spravato) for Treatment Resistant Major Depressive Disorder

Health Problem: Major depressive disorder (MDD), a serious and life-threatening condition, is one of the most common mental disorders in the United States and a leading cause of disability worldwide. MDD is a chronic disease associated with high rates of morbidity and excess mortality. Approximately 30% to 40% of patients fail to respond to f…

Proton Beam Therapy for Treatment of Head and Neck Cancer

Health Problem: Head and neck cancer (HNC) accounts for approximately 4% of all cancers in the United States, with an estimated 65,410 new HNC diagnoses during 2019 and an estimated 14,620 deaths from the disease. HNC can have a negative impact on a person’s quality of life by affecting basic functions such as swallowing, hearing, and speakin…

Microsurgery for Primary Prevention of Breast Cancer Related Lymphedema

Health Problem: Lymphedema refers to the swelling that occurs due to the accumulation of protein-rich fluids in tissue experiencing inadequate lymphatic drainage. One of the most common causes of secondary lymphedema are treatments for breast cancer, including axillary lymph node dissection, mastectomy, lumpectomy, and axillary radiation ther…