Methods for Assessment of the Relation of Benefits to Costs in the German Statutory Health Care System
Institute for Quality and Efficiency in Health Care (IQWiG) 2008
Available online PDF [69p.] at: http://www.iqwig.de/download/08-01-24_Methods_of_the_Relation_of_Benefits_to_Costs_Version_1_0.pdf
“…..Every policy decision on resource use should be preceded by a comprehensive, scientific evaluation of the relevant facts regarding how valuable the health benefits are and the costs. Although these sound and consistent evaluations of all relevant data are essential prerequisites to inform policy decisions, they cannot replace the decision making process.
To ensure consistency and transparency, there must be a formal basis for economic evaluations. This formal basis provides the analytic framework that all assessments are to use for structuring the information and guiding the reimbursement decisions. Thus, it must be sufficiently general that it can handle all potential subjects of an evaluation and it must encompass all of the required elements in a clear, systematic way. The framework must also be feasible to implement with a reasonable investment in effort and time and it should fit well within the local context as specified by the law and regulations… ‘
“….This document is divided into three sections beyond this Introduction. The Basis for Economic Evaluations describes the framework for the assessments and the guidance it provides to decision makers. In the section on Estimation of Costs, the recommendations for calculating this component of the evaluation are presented. Finally, the section on Budget Impact Analysis provides the approach to estimating the economic consequences of reimbursing new health technologies…”
Table of Contents
1 Introduction
2 Basis for Economic Evaluation
2.1 Introduction
2.2 Efficiency Frontier
2.2.1 Rationale
2.2.2 Definition
2.2.3 Concept
2.2.4 Key Modifications for Health Economic Assessments in
2.3 Constructing the Frontier
2.3.1 Vertical Axis
2.3.2 Horizontal Axis
2.3.3 Plotting the Frontier
2.4 Decision Zones
3 Estimation of Costs
4 Budget Impact Analysis
4.1 Definition
4.2 Approach
4.2.1 Perspective
4.2.2 Scenarios
4.2.3 Population
4.2.4 Time Horizon
4.2.5 Other Factors
References
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