Use of Cost-Effectiveness Thresholds in Healthcare Public Policy: Progress and Challenges

Oscar Espinosa Acuña, Paul Rodríguez-Lesmes (), Giancarlo Romano (), Esteban Orozco (), Sergio Basto (), Diego Ávila (), Lorena Mesa () and Hernán Enríquez ()
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Paul Rodríguez-Lesmes: Universidad del Rosario
Giancarlo Romano: Instituto de Evaluación Tecnológica en Salud (IETS)
Esteban Orozco: Instituto de Evaluación Tecnológica en Salud (IETS)
Sergio Basto: Instituto de Evaluación Tecnológica en Salud (IETS)
Diego Ávila: Universidad Nacional de Colombia and Directorate of Analytical, Economic and Actuarial Studies in Health, Instituto de Evaluación Tecnológica en Salud (IETS)
Lorena Mesa: Instituto de Evaluación Tecnológica en Salud (IETS)
Hernán Enríquez: Universidad del Rosario
Authors registered in the RePEc Author Service: Paul Andres Rodriguez Lesmes

Applied Health Economics and Health Policy, 2024, vol. 22, issue 6, No 4, 797-804

Abstract: Abstract The article offers a comparative analysis of the influence of cost-effectiveness thresholds in the decision-making processes in financing policies, coverage, and price regulation of health technologies in nine countries. We investigated whether countries used cost-effectiveness thresholds for public health policy decision making and found that few countries have adopted the cost-effectiveness threshold as an official criterion for financing, reimbursement, or pricing. However, in countries where it is applied, such as Thailand, the results have been very favorable in terms of minimizing health technology prices and ensuring the financial sustainability of the health system. Although the cost-effectiveness threshold has opportunities for improvement, particularly in certain institutional contexts and with adequate participation of the different strategic actors in the formulation of public policy, its potential use and added value are significant in various aspects.

Date: 2024
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DOI: 10.1007/s40258-024-00900-5

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