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April 2016; 6 (2) CommentaryOpen Access

Practices of US health insurance companies concerning MS therapies interfere with shared decision-making and harm patients

Dennis N. Bourdette, Daniel M. Hartung, Ruth H. Whitham
First published December 10, 2015, DOI: https://doi.org/10.1212/CPJ.0000000000000208
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Article Information

vol. 6 no. 2 177-182
DOI: 
https://doi.org/10.1212/CPJ.0000000000000208
Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received June 16, 2015
  • Accepted October 7, 2015
  • First Published December 10, 2015.

Article Versions

Copyright & Usage: 
© 2015 American Academy of Neurology This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Author Disclosures

    1. Dennis N. Bourdette, MD,
    2. Daniel M. Hartung, PharmD, MPH and
    3. Ruth H. Whitham, MD
  1. Dennis N. Bourdette, MD,
    2. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. Current Neurology and Neuroscience Reports, Section Editor, 2008-present; Autoimmune Diseases, Associate Editor, 2009-present; Neurology, Member Editorial Board, 2013-present present. I receive no compensation for any of these activities.

    Patents:

    1. I have a use patent pending for the treatment of multiple sclerosis with cyclic peptide derivatives of cyclosporin. I have a patent pending for a thyromimetic drug for stimulating remyelination in multiple sclerosis.

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. I have served as a consultant to Teva Neurosciences within the past 24 months; Biogen; Genentech

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. Biogen

    Research Support, Government Entities:

    1. Department of Veterans Affairs/Rehabilitation R&D, Merit Review, 1/1/12-12/31/15 National MS Society April 2015- present

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  2. Daniel M. Hartung, PharmD, MPH and
    3. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. (1) Providence Health Systems. Consulting services

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. (1) AHRQ, 1K12HS019456-01; Career development award 2010 - 2013 (2) CDC/NIDA, 1U01CE002500-01; Principal investigator, 2014 - 2016 (3) AHRQ, 1R18HS024227-01; Principal investigator, 2015-2018

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  3. Ruth H. Whitham, MD
    4. Scientific Advisory Boards:

    1. I am a member of the data safety monitoring board for two clinical trials for treatment of neuromyelitis optica, sponsored by Chugai Pharmaceutical Co.

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  1. Department of Neurology (DNB, RHW), Oregon Health & Science University, Portland; Multiple Sclerosis Center of Excellence West (DNB, RHW), VA Portland Health Care System, OR; and The College of Pharmacy (DMH), Oregon State University/Oregon Health & Science University, Portland.
  1. Correspondence to:
    bourdett{at}ohsu.edu
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