Assessing the determinants of the potential for cost-effectiveness over time: The empirical case of COPD

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Abstract

Objectives: The objective of this study was to assess the potential for cost-effectiveness of new technologies for chronic obstructive pulmonary disease (COPD) over the period from 2001 to 2010. Methods: Lung function outcomes and drug prices were observed for a UK COPD population over the period from 2001 to 2010. Cost-effectiveness was assessed at regular intervals on the basis of an established cost-effectiveness model, and the maximum price a technology providing cure could achieve under the current cost-effectiveness rules was estimated. Results: The results of this study show that although the scope for clinical improvement in COPD was still considerable, during the 10 years studied, the potential for cost-effectiveness at each point in time was dependent on momentary market characteristics, such as the changing price of comparators and improvements in clinical effectiveness. As a result, the analysis demonstrates that the future cost-effectiveness of a technology in development depends on the manner pricing and clinical effectiveness evolve throughout time. Conclusions: Because any predictions will be short-lived and dependent on a number of uncertain factors, we conclude that producing accurate forecasts on the potential for cost-effectiveness of new therapies earlier during the development process is especially difficult under the current static cost-effectiveness framework. © 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR).

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Refoios Camejo, R., McGrath, C., Herings, R., Starkie, H., & Rutten, F. (2013). Assessing the determinants of the potential for cost-effectiveness over time: The empirical case of COPD. Value in Health, 16(2), 426–433. https://doi.org/10.1016/j.jval.2012.11.006

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