Chapter Activities


Midwest Regional Chapter Survey

This brief online survey was developed to help ISPOR Midwest Regional Chapter better understand the current educational needs and interests of the chapter members and their organizations. As part of the Midwest Regional Chapter monthly educational webinar series, the survey is intended to gather member feedback on webinar topics for the 2020-2021 academic year. Responses to this survey will help the Society develop an informative and cutting-edge webinar series that fosters learning, communication, best practices, and collaboration in the HEOR community. 

The survey is very brief and will only take about 2-3 minutes to complete.

The survey can be accessed here: Begin Survey

Thank you!


The ISPOR Midwest Regional Chapter



ISPOR Midwest Regional Chapter

Webinar Information Form

Please submit this form to ISPOR Education and Midwest Chapter Director of Programming at least 2 weeks prior to your webinar. A meeting invite and WebEx details via Outlook will be provided shortly thereafter. Thank you!


Midwest Regional Chapter

Lunch-N-Learn Webinar 


Title: "Topics in Evaluating the Cost-Effectiveness of Gene Therapies

When: Wednesday, May 29, 2019, 12:00 - 13:00 CT


Several gene therapies are approved or will be approved in the near future by the FDA, and several hundred more are in development.  These therapies are characterized by being developed to treat severe disease where there is a high unmet need. They have high treatment efficacy, are expected to be one-time treatments, and are associated with high treatment costs. About two-thirds are being developed for indications other than cancer, often in diseases that are rare or ultra-rare, in some cases for pediatric populations. In this webinar, we will discuss topics in assessing the cost-effectiveness of gene therapies, including modeling technique, assessing the durability of the treatment effect in lieu of limited data, discounting, the model time horizon, the importance of indirect costs, and ISPOR’s recent work in refining value frameworks.

Speaker: Scott J. Johnson, MHA, PhD, Principal, Medicus Economics



Dr. Johnson is a health economist with over 15 years of experience in econometric analyses of large databases, discrete choice analysis, and design of prospective experiments, modeling, pricing, and policy analysis. Prior to joining Medicus, he co-founded and managed a firm specializing in cost-effectiveness analysis for 4 years, and worked at the Analysis Group for 6 years. Dr. Johnson earned his undergraduate degree in history at the University of Virginia, his MHA from the Medical College of Virginia, and his PhD in Applied Economics and Managerial Science from the University of Pennsylvania Wharton School of Business.

Midwest Regional Chapter - Event Archive

March 2019 Lunch-N-Learn Webinar 

"Virtualizing Long-Term Follow-Up Studies for Gene Therapy Products"

When: Tuesday, March 27, 2019


Jennifer Urwongse, BA Economics, MBA, Associate Director, Covance Inc


In recent years, there has been a tremendous surge in gene therapy research with several recent approvals and a large pipeline of candidates currently in trials.  In 2018, the FDA published its updated draft recommendations for long-term follow-up (LTFU) observational studies after administration of gene therapy products. This presentation provides an overview of the FDA’s recommendations on how to design LTFU studies, including specific considerations on observation and data collection and monitoring for clinical events of interest. Also, suggested approaches to “virtualize” LTFU studies that could strengthen patient engagement and retention, and facilitate the collection of information over extended periods of time will also be offered.


Jennifer Urwongse, MBA, is an Associate Director at Covance Inc.  Covance, a subsidiary of LabCorp, is a global contract research organization and drug development service company.  Jennifer has overseen multinational health economic and outcomes research (HEOR) studies as part of the Covance Market Access consulting practice since 2009. Over the last three years, Jennifer has focused on the design, development and successful execution of virtual real-world evidence studies, including fully “site-less” virtual studies for regulatory submissions.  Prior to joining Covance, Jennifer was a management consultant for a life science consulting firm and an investment banker at a major multinational investment bank. 

Jennifer received a BA in Economics with a concentration in Finance from University of Virginia, and an MBA from the Massachusetts Institute of Technology.

Webinar PowerPoint Presentation: Virtualizing Long-Term Follow-Up Studies 

February 2019 Lunch-N-Learn Webinar 

"Patient-Reported Outcomes in Clinical Drug Development"

When: Wednesday, February 27, 2019


Annette Champion, BS, MBA, President, Research Insights, Inc


Patient-Reported Outcomes (PROs) from clinical trials are critical to understanding how patients feel and function during treatment for a disease or condition. PROs report patient health status directly, without interpretation, providing information that supplements clinician-reported, observer-reported, and performance outcomes. When PRO results are in the drug label, the information can be used in promotion. In any case, PRO results can be shared in scientific communications, and incorporated in health technology assessments, Academy of Managed Care Pharmacy dossiers, and other similar submissions.

This presentation will examine the role of PROs in clinical drug development from the HEOR perspective, focusing on:

  • US regulatory environment;
  • Comparisons with Europe;
  • Differences by therapeutic area; and
  • Practical considerations for clinical trial study design and communication.


Annette Champion, MBA, is President and Founder of Healthcare Research Insights Inc (HCRI). HCRI provides research and consulting services to pharmaceutical and biotech companies. Annette has almost 20 years’ experience in the pharmaceutical industry most recently as Director of Clinical Epidemiology for AbbVie/Abbott, and previously as Director of Scientific Communications for Abbott Marketed Product Development, founder and Director of the HEOR Department in Abbott International, and Worldwide Director of Socioeconomics for Aventis/Rhone-Poulenc Rorer.  Prior to joining industry, she was head of the Health Economics and Health Care Policy unit in the Operations Research Section of Arthur D. Little. Ms. Champion has a track record of conducting scientific projects in epidemiology, scientific communications, health economics and outcomes research (HEOR), and health technology assessment. She has co-authored and/or sponsored numerous clinical and HEOR publications in peer-review journals.  Annette received a BS in Mathematics and Psychology from Tufts University and an MBA from Boston University.

Webinar PowerPoint Presentation: PROs in Drug Development

January 2019 Lunch-N-Learn Webinar

"Statistical Learning: What is it? How does it relate to machine learning and AI?; and, How is it applied in healthcare?" 

When: Wednesday, January 30, 2019

Speaker: Harry J. Smolen, MS, BS (both engineering), President and CEO, Medical Decision Modeling Inc and Purdue University


There is much press, scholarship, and funding addressing the use of statistical learning and its related topics of machine learning and artificial intelligence (AI) in healthcare. However, as with many “hot topics” in healthcare, there is much hype and the non-expert can be disheartened with the lack of introductory information on the topic and its applicability. My talk will address the following points:

  • What is statistical learning?
  • How does statistical learning relate to machine learning and AI?
  • General principals in the application of statistical learning
  • Common methodologies for the application of statistical learning
  • Examples of statistical learning applied to healthcare


Harry J. Smolen, MS, BS, Medical Decision Modeling Inc, President and CEO. Since 1994, Mr. Smolen has successfully led over a thousand projects and grants including commercial modeling and evidenced-based projects with leading pharmaceutical, biotechnology, and medical diagnostic and device companies, as well as university medical research centers. He has been Principal Investigator for 6 National Institutes of Health research and development grants. Each of these projects and grants involved the integration, analysis, and presentation of clinical, economic, and humanistic evidence to research and quantitatively analyze the benefits, risks, and costs of pharmaceuticals, biotechnologies, or medical devices. He is an active member of ISPOR. He earned an MS from Purdue University in Industrial Engineering with a concentration in healthcare computer simulation and a BS from the University of Southern California in Electrical Engineering with a specialization in computer systems. Mr Smolen is pursuing (part-time) a PhD in Industrial Engineering with a concentration in Operations Research at Purdue University. In pursuit of his PhD, he completed the coursework required for a master’s degree in applied statistics.

Webinar PowerPoint Presentation: Statistical Learning


November 2018 Lunch-N-Learn Webinar

"Effective Value Communication: Interactive Evidence-Based Messaging" 

When: Wednesday, November 28, 2018

Speaker: Cynthia Doucet, BS, MS, MS Clinical Investigation, President/Principal, OutcomeSynergy, Inc


Communicating your product’s value is both a science and an art, and it requires an understanding of decision makers’ needs as well as the evidence-based benefit that your solutions bring to patients and public health. Health economics teams may be uniquely positioned to lead cross-functional efforts to understand this value, and technology advances are making it easier to “tell the customer’s story” using his or her own input during the conversation.
Join us to explore the issues and opportunities around interactive, evidence-based messaging. Hypothetical examples will be discussed (for example, what might the burden of illness be for a specific customer’s population? Budget impact? Can dynamic HEOR models contribute to internal product and pricing decisions?), and attendee insights are encouraged.


Cynthia’s background and education include health economics, information technology, clinical investigation and finance. She has 25 years’ experience with a large diversified health care company, and she served as Vice President of the ISPOR Midwest Regional Chapter from 2011–2013. Cynthia’s special area of interest is communicating health economic evidence in a way that helps decision makers analyze potential benefits in their own scenario. Along with her husband Damon, Cynthia also leads a 501(c)3 organization that works to help local children and families in need.  



September 2018 Lunch-N-Learn Webinar 


"Utility of Medical Record Review Methodology: An Overview and Methodological Introduction"

When: Monday, September 24, 2018


Katherine Houghton, MSc, Director, RTI Health Solutions, Health Economics


Medical record review (also known as chart review) is a retrospective study methodology in which prerecorded data is used as the primary source of information to answer research questions. This presentation will provide a methodological overview and discussion of particular situations for which medical record reviews are uniquely suited.


Katherine Houghton, MSc, is a Director within the Health Economics Database group at RTI‑HS. Ms Houghton has extensive experience in health outcomes research and data analytics including experience in manipulating, cleaning, and conducting analyses of clinical trial and observational data using both Stata and Mplus. Ms Houghton’s primary responsibilities are designing and conducting retrospective observational studies, and conducting advanced statistical analyses. Specifically, Ms Houghton’s key area of expertise is the explicit consideration of missing data (including analytic techniques for missing data mechanisms that are nonignorable) and implications on results. Ms Houghton’s therapeutic areas of interest include neurology, oncology, respiratory, dermatology, urology, pain/analgesia, women’s health, gastroenterology, musculoskeletal, and psychiatry.

Ms Houghton’s work has led to articles in publications such as the British Journal of Dermatology, Advances in Therapy, Value in HealthQuality of Life Research, and Contemporary Clinical Trials, alongside presentations at conferences such as the American Thoracic Society, the American Society of Clinical Oncology, the European Academy of Allergy and Clinical Immunology, the European Academy of Dermatology and Venereology, the Multidisciplinary Thoracic Cancers Symposium, ISPOR-The Professional Society for Health Economics and Outcomes Research, and the International Society for Quality of Life Research.




"Putting the Real-World Back Into Real-World Data: The Importance of Daily Assessments in Outcomes Research"

When: Tuesday, March 27, 2018

Speaker: Dr. Jason Allaire, PhD,  Associate Professor, North Carolina State University & Managing Partner, Generativity


Growing research in the field of psychology has suggested that most behaviors exhibit significant short-term fluctuation or intraindividual variability. Consequently, taking a "snap shot" of an individual on a particular day fails to take into account how they were the day before or the day after. Variability in behavior has become not only an important predictor of outcomes but also an important outcome in its own right. This webinar will provided an overview of the theoretical rationale of and research design requirements associated with assessing intraindividual variability.  In addition, we will review recent intraindividual variability findings relevant to health outcomes research.  It will be argued that in order understand patient behavior, preferences, and outcomes you need to assess them every day or at least more than pre/post and certainly more than at a single occasion.


Dr. Allaire is an associate professor in the Department of Psychology and North Carolina State University. He has authored over 45 publications in the fields of aging, cognition, and health disparities and has been awarded over 2.5 million in federal research funding. In addition, Dr. Allaire is founder and managing partner of Generativity Solutions Group a boutique HEOR consulting company focused on data analysis and research dissemination.

Link To Archive:


January 2018 Lunch-N-Learn Webinar 


"The Use of Patient Preference & Experience Data in FDA Regulatory Decision Making"

When: Monday, January 29, 2018

Carrie Kuehn, M.A., M.P.H., L.P.D, RAC, Senior Managing Scientist, Exponent, Inc.
Jordana Schmier, M.A., Senior Managing Scientist, Exponent, Inc.

This session will review the recent policy developments at FDA with regard to the use of patient preference and patient experience data in regulatory decision-making.  FDA has made it a priority to incorporate the patient voice in the review of new therapeutics, including drugs, biologics, and medical devices.  The agency is also encouraging the use of patient-based data in the development of new medical products and the design of clinical trials.  New guidance documents are now available, and FDA continues to hold frequent webinars, meetings, and workshops for the purpose of making clear their intentions and expectations for this new regulatory process.  However, there are many aspects of this regulatory process that remain yet to be determined. By the conclusion of this session, participants will have insight into how and why types of data can be gathered and how to present these findings to the appropriate audience. An analysis of the various stakeholders and goals of the patient engagement from each one’s perspective will help participants to interpret and frame their findings. The implications for FDA’s intense focus on patient-based data for the development and commercialization of new therapeutics will be discussed. In addition, recent experiences and lessons learned will be shared within the context of this rapidly evolving regulatory landscape.

Dr. Carrie Kuehn is a regulatory consultant in Exponent’s Biomedical Engineering practice.  She is regulatory affairs certified (RAC) in U.S. FDA medical device and pharmaceutical regulatory affairs.  An epidemiologist by training, Dr. Kuehn has an extensive background in observational research in a variety of therapeutic areas.  Recently, Dr. Kuehn completed her Doctor of Law and Policy degree from Northeastern University where she focused her research on the emerging policy process of using patient-based data to inform FDA regulatory policy and decision-making.  Dr. Kuehn is a Lecturer in Northeastern University’s Regulatory Affairs Program and brings nearly 20 years of diverse training and experience to her consulting practice.

Ms. Jordana Schmier has worked in the outcomes research field for more than 15 years. She has substantial expertise in quality of life assessment and instrument validation, outcomes research, modeling, and health economics. She has published and presented studies in medical areas including asthma and other respiratory conditions, oncology, infectious diseases, psychiatry, hypertension, and neurological and digestive diseases. Particular areas of interest include compliance with treatment, electronic data collection, and the use of novel methodologies in patient preference and utility assessment. Prior to joining Exponent, Ms. Schmier was a project manager at MEDTAP International, Inc., (now Evidera), where her work included quality of life and pharmacoeconomic study design and implementation as well as study and site management.

Link To Archive:



December 2017 Lunch-N-Learn Webinar


"The Importance of Critically Analyzing Assumptions in Pharmacoeconomic Models: A Case Study in Modeling a Comparison of Diabetes Treatments"

Date: Wednesday, December 13, 2017 | 12:00 – 1:00 PM CST

Speaker: Harry J. Smolen, MS, President & CEO, Medical Decision Modeling Inc.

This approximate 30-min presentation will address a recent pharmacoeconomic model publication and how a critical analysis of its basic model assumptions substantially alter the publication’s conclusions.

Harry J. Smolen, MS, Medical Decision Modeling Inc., President and CEO since 1994, Mr. Smolen has successfully led hundreds of projects and grants including commercial modeling and evidenced-based projects with leading pharmaceutical, biotechnology, and medical diagnostic and device companies, as well as university medical research centers. He has been Principal Investigator for six National Institutes of Health (NIH) research and development grants. Each of these projects and grants involved the integration, analysis, and presentation of clinical, economic, and humanistic evidence to research and quantitatively analyze the benefits, risks, and costs of pharmaceuticals, biotechnologies, or medical devices. Mr. Smolen is the founder of MDM, and has over 20 years of experience applying computer simulation and other methodologies to analyzing the effectiveness and cost-effectiveness of healthcare interventions. He also has over 25 years of technical writing experience. Mr. Smolen is the Past President of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Chicago Region Chapter. He has been a study section member of the following review groups: NIH’s Healthcare Delivery and Methodologies; NIH’s Surgical Sciences, Biomedical Imaging, and Bioengineering; NIH’s Biomedical Computing and Health Informatics; and the US Army Medical Research and Materiel Command. He is an active member in ISPOR, as well as a frequent journal reviewer for Value in Health, Medical Decision Making, Pharmacoeconomics, and Health Policy. He earned an MS from Purdue University in Industrial Engineering with a concentration in healthcare computer simulation and a BS from the University of Southern California in Electrical Engineering with a specialization in computer systems. Mr. Smolen is pursuing (part-time) a PhD in Industrial Engineering with a concentration in Operations Research at Purdue University. In pursuit of his PhD, he completed the coursework required for a master’s degree in applied statistics.

PowerPoint is included as one of the attachments below.


November 2017 Lunch-N-Learn Webinar


"Savoring Life: A Comparison of Value Frameworks"

Date: November 15, 2017 | 12:00 – 1:00 PM CST

Speaker: Dr. Daniel Touchette, PharmD, MA, Associate Professor, University of Illinois at Chicago College of Pharmacy

Time:  12:00 pm – 1:00 pm Central Time

Discussion on estimating the costs and benefits of pharmaceuticals, along with a summary and critique of current methods and frameworks for assessing value.

Daniel Touchette is Associate Professor in the Department of Pharmacy Systems Outcomes and Policy. Dr. Touchette received his BS in Pharmacy from the University of Manitoba, and his PharmD and Master of Economics degrees from Wayne State University in Detroit. He also completed a fellowship in pharmacoeconomics and outcomes research at Wayne State. Dr. Touchette's primary research interests are in pharmacoeconomics and outcomes research. In particular he is interested in assessing the effectiveness and cost-effectiveness of clinical pharmacist and other health practitioner services, developing and assessing methods for improving adherence to medications, and evaluating the cost-effectiveness of pharmaceuticals. Dr. Touchette has numerous grants and over 50 publications evaluating clinical services, economic evaluations of clinical services and pharmaceuticals, and the impact of formulary and benefit designs on medication use.

Event Archive:  


October 2017 Lunch-N-Learn Webinar


“Methods for population-adjusted indirect treatment comparison (ITC) of time-to-event outcomes”

Date: Wednesday, October 18, 2017 | 12:00 – 1:00 PM CST

Speaker:  Vardhaman Patel, MS, PhD, Scientist, Modeling & Meta-Analysis, Pharmerit International

The presentation will cover: (a) population-adjusted ITC methods such as matching-adjusted indirect treatment comparisons (MAIC) and simulated treatment comparisons (STC); and (b) digitization of time-to-event curves from trial publications to conduct population-adjusted ITC.

Vardhaman Patel, PhD, is a scientist in the Modeling and Meta-Analysis group with Pharmerit International (Bethesda, MD). He received a PhD degree with a major in pharmacoeconomics and minor in pharmacoepidemiology from the University of Illinois at Chicago (UIC). Prior to joining Pharmerit, Vardhaman worked at Eisai Inc., where he extensively developed and adapted core/global budget impact and cost-effectiveness models for countries in Europe and Asia. In addition, he conducted meta-analyses and indirect treatment comparisons, developed the economic sections of dossiers and BaseCase interfaces for economic models. Vardhaman is experienced in the design and execution of medical chart reviews, systematic literature reviews, research proposals, and observational studies using claims data. He has co-authored several publications and peer reviewed manuscripts. His prior areas of experience include soft tissue sarcoma, epilepsy, acute coronary syndrome, thrombocytopenia, thrombosis and atopic dermatitis. Vardhaman is passionate about enhancing patients’ access to medicines by demonstrating the product value to payers using economic models.

Link To Archive:


September 2017 Lunch-N-Learn Webinar


“Precision medicine and its applications in HTA and clinical decision making”.

Date: Thursday, September 28, 2017 | 12:00 – 1:00 PM CST

Speaker: Eric Q. Wu, PhD, Managing Principal, Analysis Group, Inc.

We will discuss how rich clinical, economic, and genomic data can be used to identify best treatment target population, and the most appropriate treatment for each individual. We will also give examples to illustrate how the application of these methods can help with HTA negotiation and improve clinical practice.

Dr. Wu is a health economist specializing in health economics, outcomes, and market access issues related to pharmaceuticals and biologics. He has broad experience consulting to pharmaceutical and device companies, payers, and government agencies in North America, Europe, and Asia. Dr. Wu has extensive experience in the development of health economics and outcomes research strategy, analysis of medical claims and clinical trial data, patient chart review, patient surveys and physician surveys, and economic

Event Archive:


June 2017 Lunch-N-Learn Webinar


“Collection of patient-entered data as part of clinical care:  Experience in the implementation and utilization at Cleveland Clinic”

Date: June 29, 2017 | 12:00 – 1:00 PM CST

Speaker:   Dr. Irene Katzan, MD, MS, ‎Director, Neurological Institute Center for Outcomes Research and Evaluation, Cleveland Clinic

Patient-reported outcomes are taking an increasingly important role in medical care.  In addition to their use at the patient level to monitor progress of individual patients, patient-reported data at an aggregate level have significant theoretical potential for use in research, quality initiatives and operational analyses.  Systematic collection of patient-reported information as part of routine care presents several challenges.  This presentation will outline the Cleveland Clinic experience with the collection and use of patient-reported information.

Key Learnings & Takeaways:
At the end of the session participants will be able to:

  • Discuss reasons for the increased use of patient-reported data in healthcare
  • Describe how patient-reported outcomes data can be integrated into ambulatory clinical workflows· List examples of how patient-reported data aid in clinical care
  • Identify opportunities to use patient-reported data to generate new knowledge

Irene Katzan, MD, MS is a neurologist and Director of the Cleveland Clinic Neurological Institute Center for Outcomes Research and Evaluation. She has a background in evaluating the outcomes of care in neurological diseases and in modifying systems to optimize patient management across healthcare venues. She is also the Medical Director for Patient-Entered Data at Cleveland Clinic and led the development and implementation of the patient-entered data initiative to collect patient-reported outcomes information at the point of care. Currently health status information is collected electronically in over 100,000 clinical encounters each month at Cleveland Clinic.

Link To Archive:   


March 2017 Lunch-N-Learn Webinar


“Social support is a moderator in the relationship between comorbidity medication adherence and Healthy Days for patients with metastatic cancer.”

Date: Thursday, March 9, 2017 | 12:00 – 1:00 PM CST

Dana Drzayich Antol, MS –  Research Consultant
Comprehensive Health Insights, Humana, Inc., Louisville, KY              

Adrianne Waldman Casebeer, MPP, MS, PhD – Research Lead,
Comprehensive Health Insights, Humana, Inc., Louisville, KY

Brief Description:
A prospective survey design was used to understand the relationship between comorbidity medication adherence and health-related quality of life among patients with metastatic breast, lung or colorectal cancer and at least one comorbid condition who recently underwent anti-cancer treatment.  Health-related quality of life was assessed using the CDC's Healthy Days measure which captures the total number of physical and mental unhealthy days in the prior month.

Key Learnings & Takeaways:

  • Patients with low comorbidity medication adherence experienced more unhealthy days than those with high comorbidity medication adherence.
  • The increase in unhealthy days attributed to low comorbidity medication adherence is further amplified by low social support.
  • This finding suggests that a greater importance should be placed on patients' social and caregiver resources including encouraging engagement with cancer support programs.

Ms. Drzayich Antol is a Research Consultant with Comprehensive Health Insights.  She earned a Master of Science degree in Epidemiology and Biostatistics from Case Western Reserve University.  Ms. Drzayich Antol has over twenty years experience in health care research. She has designed and analyzed research studies to quantify the effectiveness of disease management and quality improvement interventions using administrative medical claims data.  She has managed and analyzed international clinical drug trials focused on improving tuberculosis treatment and worked on the development of a medical devise intended to measure inter-arterial blood gas.  Her research experience has included study design, project management, advanced statistical methods, regulatory compliance and report development to inform business decision making.  Ms. Drzayich Antol has authored and co-authored articles in peer-reviewed publications.

Dr. Adrianne Casebeer is a Research Lead with Comprehensive Health Insights.  She provides research support to a variety of initiatives for Comprehensive Health Insight’s external clients.   Dr. Casebeer has conducted health services and outcomes research with multi-disciplinary teams for government, non-profits and clinical trials.  She earned her Doctorate in Public Affairs from the University of Colorado, a Masters in Public Policy from Georgetown University and a Masters of Science in Management and Decision Making from the University of Arizona at Tucson.  She has worked for the Division of Cardiac Research, Denver Veterans Affairs Medical Center; The Colorado Prevention Center; and the South Carolina State Budget and Control Board. Dr. Casebeer is an adjunct faculty member at the Graduate School of Health Administration and Policy at George Mason University.  She has co-authored regular reports for governmental oversight bodies, abstracts and peer-reviewed publications.


February 2017 Lunch-N-Learn Webinar


"Is all adherence created equal? A study of the impact of direction of change in adherence to therapy and magnitude of comorbidity on medical spending in patients with three chronic conditions"

Date: February 7, 2017 | 12:00 – 1:00 PM CST

Speaker: Steven Kymes, Ph.D., Director, U.S. Health Economics and Outcomes Research, Lundbeck

Brief Description:
Adherence to medical therapy has long been recognized as a major public health problem, and there are numerous studies to demonstrate that patients who are adherent to therapy have better health and economic outcomes than patients who are not. However, these cost studies have been traditionally been conducted in a cross-sectional fashion comparing medical spending of those who are adherent to medication to those who are not in the same period---thus there is limited generalizability of these studies to interventions implemented to improve medication adherence. We examined the impact of change in adherence behavior over two consecutive years on medical spending in a cohort of commercially insured patients with 1) Diabetes; 2) Hypertension; or 3) Hypercholesterolemia (high cholesterol).

Key Learnings & Takeaways:

  • Participants will gain an understanding of that whether a patient is becoming adherent or becoming non-adherent affects the magnitude of savings (or extra spending) experienced within the health system.
  • They will also learn that the magnitude of these savings (or excess spending) is dramatically impacted by the degree of comorbidity the patient is bearing.
  • Together these factors have important implications for the targeting of programs intended to improve medication adherence.

Dr. Steven Kymes is the Director of U.S. HEOR at Lundbeck, an international pharmaceutical company providing therapies for treatment of diseases of the central nervous system. He received his doctorate in health services research from the Saint Louis University School of Public Health in 2001. After graduation, he joined the faculty of the Washington University School of Medicine (St. Louis) where he was the founding director of the Center for Economic Evaluation in Medicine. He left academic life in 2012 to join CVS Health as an Executive Advisor in their Enterprise Analytics group. There he led development predictive metrics for targeting of pharmacy interventions and worked to improve estimates of the value of improved medication adherence. He left CVS in early 2016 to join Lundbeck.

Use This Link To Access The Archive: 


Midwest Regional Chapter - Face-to-Face Meeting


“Qualitative Research: What It Can and Cannot Do”

Date: November 3, 2016 | 6:30 pm – 8:30 pm Central Time

Speaker:  Dr. Lisa Sharp, ‎University of Illinois at Chicago

Location:  University of Illinois at Chicago, College of Pharmacy, 833 S. Wood Street, Chicago, IL  60604 Room: PHARM 212/216

To de-mystify qualitative research methods, and discuss how it meets scientific rigor, including some real examples of applications
Following the seminar there will be a career panel discussion for students featuring panel members from industry, academia, and consulting.
There will also be an opportunity for networking for all attendees.

January 2016 Lunch-N-Learn Webinar


"The Other Purchaser: Exploring Employer Sponsored Care Metrics and Perspectives of Chronic Care"

Date: January 27, 2016 | 12:00 – 1:00 PM CST

Speaker: F. Randy Vogenburg, PhD, Partner, Access Market Intelligence, and The National Institute of Collaborative Care

RSVP: Aki Shiozawa at by COB Friday, January 15, 2016 (You must RSVP to obtain the WebEx Link)

The new era of health care requires a multi-stakeholder understanding of more than one perspective of decision-maker or purchaser. Understanding what employers as purchasers of health care want to know about biologic and specialty drugs along with corresponding devices or diagnostic products has emerged in importance along with patient-focused analyses.  Determining data gaps and needed insights by employers as plan sponsors around utilization of these drugs, devices or diagnostics is of interest now to providers, manufacturers and third party payers.  What can be learned from employer determined shortfalls and innovations around providing chronic care will be shared from a multi-year employer initiative.  In addition, contrasting public sector versus private sector market segments and multiple stakeholder views on medical or pharmacy benefit coverage will be discussed.


December 2015 Lunch-N-Learn Webinar


“Designing Clinical Tools Using Big Data: An Example on Depression and Health Care Databases”

Date: December 9, 2015 | 12:00 – 1:00 PM CST

Speaker: Clement Francois, Vice President, US HEOR, Lundbeck LLC

Health care databases are an excellent source for health and drug-related data, but there is a shortage of clinical information used to evaluate the severity of the disease. This is particularly true in depression and other mental health diseases, as there are no tests or biomarkers. Using data mining techniques and Clinical Practice research Datalink (CPRD), we created an index which estimates the health state of a depressed patient at a specific point in time on a continuous scale ranging from the worst possible to the best possible state. This presentation will provide a brief overview of the development of the index and preliminary results, and allow for a discussion and sharing of experiences in the field of database and data mining.



“Market Access in US & Europe”

Date: December 1, 2015 (Tuesday) | 3:00–6:00 pm Central Time

Speaker: Professor Mondher Toumi, University of Aix-Marseille & CEO at Creativ-ceutical

Course Description:
Unlike marketing authorization for pharmaceuticals, mainly regulated at the European level by EMA, pricing and reimbursement decisions in Europe are managed by individual Member States. Health care services are generally covered by a single public health insurer operating under the Ministry of Health supervision. As a monopoly buyer, this situation provides a leading position for the public health insurer to set reimbursement conditions. Therefore, based on each country’s set of regulations, processes, and values, wide variations exist in pricing and reimbursement decisions of pharmaceuticals. Using up-to-date governmental regulation sources this course will discuss health technology decision-making processes for reimbursement decisions for pharmaceuticals in France, Germany, Hungary, Italy, Poland, Spain, Sweden, and the UK. The course will describe these reimbursement systems, as well as compare, and bring into contrast their key characteristics. We will along the whole course put the European findings in perspective with the US system.

Course learning objectives:

  • To provide an overview of the European reimbursement policies;
  • To identify and generate payers’ evidence requirements;
  • To understand the strategic considerations for a successful reimbursement application;
  • To put EU system in perspective with the US market access conditions.

After the completion of this course, participants will be able to:

  1. Understand the current context of reimbursement of pharmaceuticals in Europe;
  2. Understand the diversity of approaches of reimbursement decisions across Europe;
  3. Understand the requirements for successful payers coverage;
  4. Understand the importance to closely monitor the reimbursement decisions to anticipate the changes in decisions and requirements overtime.


Contact Information

Midwest Regional Chapter Office


Chapter Leadership

PresidentAllicia Girvan, PhD 
President-ElectChristy Houle, PhD 
Past PresidentHarry J. Smolen, MS 
Secretary/TreasurerJulie A. Myers, MPH 
Director of ProgrammingErika Brockfeld McClure, PhD 
Director of CommunicationHari Patel, PharmD, PhD 

Chapter Constitution





Midwest Regional Chapter members meet at the ISPOR 18th Annual International Meeting, May 2013 in New Orleans, LA, USA.

Panelists, Mohan Bala, M. Trusheim, Keith Flaherty

ISPOR 18th Annual International Meeting, May 2013 in New Orleans, LA, USA


May 2015, Philadelphia, PA, USA. Midwest Regional Chapter Meeting, ISPOR 20th Annual International Meeting

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