Trends in Author-Reported Cost-Effectiveness Thresholds in the United States from 1995 to 2018: Implications for Discount Rates

Ankur Pandya, Mike Paulden, Jinyi Zhu, Tara A. Lavelle and James K. Hammitt
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Ankur Pandya: Harvard T.H. Chan School of Public Health
Mike Paulden: University of Alberta
Jinyi Zhu: Harvard T.H. Chan School of Public Health
Tara A. Lavelle: Tufts University School of Medicine [Boston]
James K. Hammitt: TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse

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Abstract: Background: Decisions based on cost-effectiveness analyses (CEAs) using equal discount rates for health and cost outcomes are consistent with using a constant cost-effectiveness threshold over time. We sought to analyze trends in author-reported cost per quality-adjusted life-year (QALY) thresholds from CEAs published for the US setting over 24 y to retrospectively assess whether the recommended equal discount rates for costs and health were consistent with trends in the CEA literature. Methods: We used the Tufts CEA Registry to assess whether author-reported cost-effectiveness thresholds changed in CEAs published for the US setting between 1995 and 2018 and back-calculated the implied discount rate for health based on these trends for inflation-adjusted cost-effectiveness thresholds and an annual discount rate for costs of 3%.

Keywords: Cost-effectiveness threshold; Discount rate; Cost-effectiveness analysis (search for similar items in EconPapers)
Date: 2022-10
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Published in Medical Decision Making, 2022, 42 (7), pp.885-892. ⟨10.1177/0272989X221097106⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03965258

DOI: 10.1177/0272989X221097106

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