US HEALTH CARE SYSTEM BEGINS TO EMBRACE COST EFFECTIVENESS AS A CENTRAL COMPONENT OF “VALUE”

Value in Health Series Indicates We May Have Reached a Tipping Point 

Princeton, NJ—August 29, 2016—The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) announced today the publication of a series of articles suggesting that the application of cost-effectiveness analysis for health care decision making in the US may be approaching critical mass. This special themed section, Cost-Effectiveness and Clinical Practice Guidelines: Have We Reached a Tipping Point?, was published in the July/August 2016 in Value in Health. The guest editor for the themed section is Lou Garrison, PhD, University of Washington, Seattle, WA, USA.

The special section comprises four articles:

  • Considering Cost-Effectiveness in Cardiology Clinical Guidelines: Progress and Prospects, by Mark A. Hlatky, MD, Stanford University School of Medicine, Stanford, CA, USA. This paper reviews the history of cardiology clinical guidelines and notes that the next ACC/AHA (American College of Cardiology / American Heart Association) guideline will incorporate value as part of its recommendations. According to Dr. Hlatky, “This will be an evidence-based process where published economic assessments relating key questions will be reviewed.”
  • Challenges in Measuring Cost and Value in Oncology: Making It Personal, by Peter P. Yu, MD, Director of Cancer Research, Palo Alto Medical Foundation, Sunnyvale, CA and President, American Society of Clinical Oncology (ASCO), Alexandria, VA, USA. Dr. Yu outlines three ASCO initiatives supporting the development of clinical guidelines that reflect a rapidly changing knowledge base for decision-making support.
  • Clinical Guidelines: A NICE Way to Introduce Cost-Effectiveness Considerations?, by Michael Drummond, MCom, DPhil, University of York, United Kingdom. Dr. Drummond describes the UK’s NICE clinical guideline program, explaining that NICE’s clinical guidelines offer the possibility of prioritizing topics for clinical and economic assessment based on the consideration of the whole clinical pathway.

In summary, Dr. Garrison notes that, “with increasing pressures on drug prices, payers, providers, and patients are looking for value for their health care spend. My colleagues who have contributed to this themed section and I believe that cost-effectiveness analysis as a key part of value assessment should be an important consideration in this process.”

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