Cost, Effectiveness, and Cost-Effectiveness

Cost, effectiveness, and cost-effectiveness.

Incremental or marginal cost-effectiveness ratios are founded on a number of assumptions that weaken their suitability as a way to balance competing economic and clinical priorities. We therefore propose a more relevant and responsible way to gauge the impact of clinical management strategies based on “consumer protection” principles—explicit disclosure of (1) the total magnitude of expected be...

Cardiovascular Perspectives Cost, Effectiveness, and Cost-Effectiveness

Incremental or marginal cost-effectiveness ratios are founded on a number of assumptions that weaken their suitability as a way to balance competing economic and clinical priorities. We therefore propose a more relevant and responsible way to gauge the impact of clinical management strategies based on “consumer protection” principles— explicit disclosure of (1) the total magnitude of expected b...

Championing Effectiveness Before Cost-Effectiveness.

T he proliferation of costly therapies has led to an increased focus on value. In the treatment of patients with advanced heart failure (HF), one such expensive intervention, CardioMEMS (CardioMEMS Heart Failure System, St. Jude Medical Inc., Atlanta, Georgia), is a permanently implanted device to monitor pulmonary artery pressure and enable adjustments in therapy that could avert the need for ...

Cost-Effectiveness Analysis

CEA is a tool that has seen increasing use in recent decades as decision makers at all levels of health care provision seek to value alternative interventions (or programs, tests, or treatments). Although CEAs can be complex, and are often described using somewhat arcane terminology, the concept at the core of any CEA is fairly simple: to combine the net cost of a given intervention and its out...

Cost-Effectiveness Analysis