Christine Benosa

Cost effectiveness thresholds

Asked: 23 Feb 2018  |   1277
How can a country ensure that the cost effectiveness thresholds that they will set are appropriate?

Expert Replies:

Anthony Culyer

Emeritus Professor of Economics  |  United Kingdom  |   Replied: 06 Mar 2018 at 19:57
Hi! There is no certainty here, so to "ensure" is too strong. A good test, if you are a person of good judgment, would be to ask of the current threshold - if we take decisions based on this is it likely that the result will overwhelm the healthcare budget? If so, then the threshold is too high. Lower it!

In the unlikely event that you estimate the opposite impact on the budget, Raise it!

Best to play this conceptual game at a table with locally knowledgable colleagues.

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Anthony Culyer

Emeritus Professor of Economics
Emeritus Professor of Economics, Centre for Health Economics, University of York
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