The U.S. Healthcare Ecosystem: Payers, Providers, Producers

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Publisher : McGraw Hill Professional
ISBN 13 : 1264264488
Total Pages : 640 pages
Book Rating : 4.2/5 (642 download)

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Book Synopsis The U.S. Healthcare Ecosystem: Payers, Providers, Producers by : Lawton Robert Burns

Download or read book The U.S. Healthcare Ecosystem: Payers, Providers, Producers written by Lawton Robert Burns and published by McGraw Hill Professional. This book was released on 2021-03-16 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Essential Guide to the Processes and Operational Complexities of the U.S. Healthcare System The U.S. Healthcare Ecosystem serves as an expert navigator through the complicated and often confusing environment where healthcare payers, healthcare providers, and producers of healthcare technologies all interact. This thorough resource provides expert insight and analysis of employer-based health insurance, pharmacy benefits, the major professions, healthcare consolidation, drug discovery and development, biotechnology, and much more. Packed with timely examples and filled with illustrations, The U.S. Healthcare Ecosystem will inspire you to think more critically about the business of healthcare and make informed assessments. Features: Includes often neglected topics impacting healthcare delivery such as employer-based health insurance, pharmacy benefits, healthcare consolidation, and biotechnology Highly readable and single-authored by a Wharton Professor who has taught health care delivery and management for over 20 years Filled to the brim with helpful diagrams, charts and tables - nearly 350 figures complement the text Every chapter ends with a helpful Summary and Questions to Ponder

Just Enough Healthcare

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Publisher :
ISBN 13 :
Total Pages : 118 pages
Book Rating : 4.6/5 (651 download)

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Book Synopsis Just Enough Healthcare by : Sivakumaran Raman

Download or read book Just Enough Healthcare written by Sivakumaran Raman and published by . This book was released on 2020-07-10 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare is complex, and occupies a critically important space in American political, social, and financial conversations. There is no other sector poised to be of more consequence and significance than healthcare, especially in light of the recent viral pandemic and the political center-stage accorded to healthcare delivery and access.As a physician and informatician, having worked in healthcare for more than two decades and served as Vice President and Chief Analytics Officer in health insurance and health information technology firms, I have been astounded by the lack of understanding of this sector. I put it down to the fact that healthcare is broad and its segments are isolated from each other in terms of the knowledge of their functioning.To address this, I created a first-of-its-kind resource for anyone wanting to get an overview of the US healthcare system in less than a day while reading fewer than 100 pages. This book's unique ability to connect diverse points in the system will allow the reader to understand all perspectives in this domain.After reading this book, you will be able to answer questions like:- Why can't I get an estimate at the physician's office and the hospital about what my visit and treatments will cost?- What are healthcare data and analytics?- How do I make sense of my medical bills and the Explanation of Benefits documents?- How does a physician treat patients?- How do physicians, hospitals, health insurance companies, pharmaceutical companies, and pharmacies make money?- What are generics and biosimilars?- What is a PBM?Topics covered include:- Healthcare Systems and Providers- Health Insurance and Payers- The Life Science Industry including Pharmaceutical Companies- Medical Billing and Payment, Healthcare Data and Analytics- The Government Role in US Healthcare

Big Med

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Publisher : University of Chicago Press
ISBN 13 : 022682392X
Total Pages : 344 pages
Book Rating : 4.2/5 (268 download)

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Book Synopsis Big Med by : David Dranove

Download or read book Big Med written by David Dranove and published by University of Chicago Press. This book was released on 2022-11-18 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.

The Health Care Handbook

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975200047
Total Pages : 191 pages
Book Rating : 4.9/5 (752 download)

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Book Synopsis The Health Care Handbook by : Elisabeth T. Askin

Download or read book The Health Care Handbook written by Elisabeth T. Askin and published by Lippincott Williams & Wilkins. This book was released on 2022-11-21 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: Described in the New York Times as “an astonishingly clear ‘user’s manual’ that explains our health care system and the policies that will change it,” The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform—all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a “one stop shop” for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies.

Healthcare Economics Made Easy, third edition

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Publisher : Scion Publishing Ltd
ISBN 13 : 1911510851
Total Pages : 152 pages
Book Rating : 4.9/5 (115 download)

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Book Synopsis Healthcare Economics Made Easy, third edition by : Daniel Jackson

Download or read book Healthcare Economics Made Easy, third edition written by Daniel Jackson and published by Scion Publishing Ltd. This book was released on 2021-06-19 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare Economics Made Easy, third edition is a clear and concise text written for those working in healthcare who need to understand the basics of the subject but who do not want to wade through a specialist health economics text. It will equip the reader with the necessary skills to make valid decisions based on the economic data and with the background knowledge to understand the health economics literature. This new edition builds on the success of the second edition by updating the material on the NICE appraisal process and including new sections on health technology assessment in the USA and the key role of the Institute for Clinical and Economic Review. This book provides insight into the economic methods that are used to promote public health policies, the techniques used for grading and valuing evidence and the statistics relied upon, without trying to re-train the reader as a health economist. If you are left bemused by terms such as QALY, health utility analysis and cost-minimization analysis, then this is the book for you! Second edition Highly Commended in the BMA Medical Book Awards! Here’s what the judges said: “This is one of the few textbooks I would suggest every clinician reads.”

The Business of Healthcare Innovation

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Publisher : Cambridge University Press
ISBN 13 : 9780521838986
Total Pages : 400 pages
Book Rating : 4.8/5 (389 download)

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Book Synopsis The Business of Healthcare Innovation by : Lawton R. Burns

Download or read book The Business of Healthcare Innovation written by Lawton R. Burns and published by Cambridge University Press. This book was released on 2005-08-25 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first wide-ranging analysis of business trends in the manufacturing segment of the health care industry.

Winning the ’20s

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Publisher : Walter de Gruyter GmbH & Co KG
ISBN 13 : 3110730111
Total Pages : 98 pages
Book Rating : 4.1/5 (17 download)

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Book Synopsis Winning the ’20s by : Martin Reeves

Download or read book Winning the ’20s written by Martin Reeves and published by Walter de Gruyter GmbH & Co KG. This book was released on 2021-05-10 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade, businesses have faced relentless change on multiple dimensions, and the list of the world’s largest companies has changed enormously. The keys to success are likely to be just as different for the new decade. Winning the ’20s analyzes the new competitive environment that businesses face and outlines what will it take to win in the 2020s. To stay ahead of the trends that are reshaping business, leaders need to rethink existing assumptions and retool their companies. Both traditional incumbents and younger digital giants will face very different but equally critical challenges in the 2020s—and would do well to learn from each other’s strengths. This book discusses the new dimensions of competition that will affect corporate strategy in the next decade and how leaders can reinvent their organizations to be better suited for the new environment. The companies that succeed in the 2020s will look very different than they do today—they will have evolved their businesses to harness new technologies and reshaped their external relationships, organizations, and approaches accordingly. Winning the ’20s will help business professionals as well as academics and students with an interest in strategy and leadership answer this critical question for the start of this decade: How should you prepare your company to avoid being left behind and emerge as a winner in a rapidly evolving business landscape?

Strategic Management of the Health Care Supply Chain

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Publisher : John Wiley & Sons
ISBN 13 : 1119908612
Total Pages : 390 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Strategic Management of the Health Care Supply Chain by : Eugene Schneller

Download or read book Strategic Management of the Health Care Supply Chain written by Eugene Schneller and published by John Wiley & Sons. This book was released on 2023-07-11 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: A systems approach to understanding the needs of today’s healthcare supply chain Strategic Management of the Healthcare Supply Chain offers a big-picture overview and a proven strategic framework for supply chain management in healthcare. It also addresses concrete strategies for risk management, partnerships, logistics, performance assessment, information technology, and beyond. Readers will gain a comprehensive understanding of the issues facing the healthcare supply chain and the opportunities that present themselves as we look toward the future. Written by a team of authors with both research expertise and practical experience in healthcare supply chain, this broad and impactful book teases out the complexities within the supply chain field and the healthcare ecosystem. The healthcare industry is evolving rapidly, and the role of the supply chain is shifting in response. Institutions and practitioners are collaborating more closely than ever with supply chain leaders. This shift introduces new opportunities and challenges at the level of healthcare delivery. Additionally, the role of supply chain in safeguarding the social determinants of health—food, transportation, critical health-related products—is rapidly expanding, especially in historically underserved populations. This revised edition takes a holistic approach to the needs of people and organizations, yielding strategies that will improve both economic and health outcomes. Gain the understanding you need to work toward building a mature supply chain organization Develop perspective on how the needs of the healthcare supply chain are shifting in the modern era Holistically assess supply chain performance and improve clinical, financial, and operational outcomes Identify opportunities to generate value, improve alliances, and cut costs This book will be of interest to graduate students in the health sector and supply chain programs, as well as working clinicians, health sector managers, and supply chain leaders. Policymakers looking to create a more resilient healthcare supply chain in the wake of COVID-19 will also find valuable insight inside.

Biodesign

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Publisher : Cambridge University Press
ISBN 13 : 0521517427
Total Pages : 779 pages
Book Rating : 4.5/5 (215 download)

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Book Synopsis Biodesign by : Stefanos Zenios

Download or read book Biodesign written by Stefanos Zenios and published by Cambridge University Press. This book was released on 2010 with total page 779 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recognize market opportunities, master the design process, and develop business acumen with this 'how-to' guide to medical technology innovation. Outlining a systematic, proven approach for innovation - identify, invent, implement - and integrating medical, engineering, and business challenges with real-world case studies, this book provides a practical guide for students and professionals.

AI-First Healthcare

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Publisher : "O'Reilly Media, Inc."
ISBN 13 : 1492063126
Total Pages : 222 pages
Book Rating : 4.4/5 (92 download)

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Book Synopsis AI-First Healthcare by : Kerrie L. Holley

Download or read book AI-First Healthcare written by Kerrie L. Holley and published by "O'Reilly Media, Inc.". This book was released on 2021-04-19 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: AI is poised to transform every aspect of healthcare, including the way we manage personal health, from customer experience and clinical care to healthcare cost reductions. This practical book is one of the first to describe present and future use cases where AI can help solve pernicious healthcare problems. Kerrie Holley and Siupo Becker provide guidance to help informatics and healthcare leadership create AI strategy and implementation plans for healthcare. With this book, business stakeholders and practitioners will be able to build knowledge, a roadmap, and the confidence to support AIin their organizations—without getting into the weeds of algorithms or open source frameworks. Cowritten by an AI technologist and a medical doctor who leverages AI to solve healthcare’s most difficult challenges, this book covers: The myths and realities of AI, now and in the future Human-centered AI: what it is and how to make it possible Using various AI technologies to go beyond precision medicine How to deliver patient care using the IoT and ambient computing with AI How AI can help reduce waste in healthcare AI strategy and how to identify high-priority AI application

Understanding Value Based Healthcare

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Publisher : McGraw Hill Professional
ISBN 13 : 007181700X
Total Pages : 320 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Understanding Value Based Healthcare by : Vineet Arora

Download or read book Understanding Value Based Healthcare written by Vineet Arora and published by McGraw Hill Professional. This book was released on 2015-04-03 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .

China's Healthcare System and Reform

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Publisher : Cambridge University Press
ISBN 13 : 1316738396
Total Pages : 929 pages
Book Rating : 4.3/5 (167 download)

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Book Synopsis China's Healthcare System and Reform by : Lawton Robert Burns

Download or read book China's Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 929 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.

The Innovator's Prescription: A Disruptive Solution for Health Care

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Publisher : McGraw Hill Professional
ISBN 13 : 9780071592093
Total Pages : 496 pages
Book Rating : 4.5/5 (92 download)

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Book Synopsis The Innovator's Prescription: A Disruptive Solution for Health Care by : Clayton Christensen

Download or read book The Innovator's Prescription: A Disruptive Solution for Health Care written by Clayton Christensen and published by McGraw Hill Professional. This book was released on 2008-10-31 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: A groundbreaking prescription for health care reform--from a legendary leader in innovation . . . Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations. We need a cure, and we need it now. Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable. Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions. YOU’LL DISCOVER HOW “Precision medicine” reduces costs and makes good on the promise of personalized care Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work Patient networks enable better treatment of chronic diseases Employers can change the roles they play in health care to compete effectively in the era of globalization Insurance and regulatory reforms stimulate disruption in health care

The United States Healthcare System: Overview, Driving Forces, and Outlook for the Future

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Publisher :
ISBN 13 : 9781640551657
Total Pages : 450 pages
Book Rating : 4.5/5 (516 download)

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Book Synopsis The United States Healthcare System: Overview, Driving Forces, and Outlook for the Future by : Stephen L. Wagner

Download or read book The United States Healthcare System: Overview, Driving Forces, and Outlook for the Future written by Stephen L. Wagner and published by . This book was released on 2020-06-17 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book aims to provide a broad understanding of the healthcare system of the United States, with attention to its origins, development, and future"--

Analytics in Healthcare and the Life Sciences

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Publisher : Pearson Education
ISBN 13 : 0133407330
Total Pages : 351 pages
Book Rating : 4.1/5 (334 download)

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Book Synopsis Analytics in Healthcare and the Life Sciences by : Dwight McNeill

Download or read book Analytics in Healthcare and the Life Sciences written by Dwight McNeill and published by Pearson Education. This book was released on 2014 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: Make healthcare analytics work: leverage its powerful opportunities for improving outcomes, cost, and efficiency.This book gives you thepractical frameworks, strategies, tactics, and case studies you need to go beyond talk to action. The contributing healthcare analytics innovators survey the field's current state, present start-to-finish guidance for planning and implementation, and help decision-makers prepare for tomorrow's advances. They present in-depth case studies revealing how leading organizations have organized and executed analytic strategies that work, and fully cover the primary applications of analytics in all three sectors of the healthcare ecosystem: Provider, Payer, and Life Sciences. Co-published with the International Institute for Analytics (IIA), this book features the combined expertise of IIA's team of leading health analytics practitioners and researchers. Each chapter is written by a member of the IIA faculty, and bridges the latest research findings with proven best practices. This book will be valuable to professionals and decision-makers throughout the healthcare ecosystem, including provider organization clinicians and managers; life sciences researchers and practitioners; and informaticists, actuaries, and managers at payer organizations. It will also be valuable in diverse analytics, operations, and IT courses in business, engineering, and healthcare certificate programs.

The Healthcare Value Chain

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Publisher : Springer Nature
ISBN 13 : 303110739X
Total Pages : 658 pages
Book Rating : 4.0/5 (311 download)

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Book Synopsis The Healthcare Value Chain by : Lawton Robert Burns

Download or read book The Healthcare Value Chain written by Lawton Robert Burns and published by Springer Nature. This book was released on 2022-10-19 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume analyzes group purchasing organizations (GPOs) and pharmacy benefit managers (PBMs) in order to better understand the significant roles that these entities play in the healthcare supply chain. It examines who they contract with, on what terms, and who they represent and answer to while charting their historical development. The analysis reveals that the current roles of both players have historical roots that explain why they behave the way they do. Finally, the book reviews the evidence base on the performance results of these two players. This work fills a void in our understanding about two important and controversial players in the healthcare value chain. Both organizations are cloaked in secrecy — partly by virtue of the private sector contracts they negotiate, partly by virtue of the lack of academic attention. Both play potentially important roles in controlling healthcare costs, albeit using contracting strategies and reimbursement mechanisms that arouse suspicion among stakeholders. This timely text explicates how these organizations arose and evolved to shed more light on how they really operate.

Pain Management and the Opioid Epidemic

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Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.