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Health Economics
Article . 2014 . Peer-reviewed
License: CC BY NC
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Health Economics
Article
License: CC BY NC
Data sources: UnpayWall
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Article . 2015
License: CC BY NC
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Article . 2015
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Communicating the Parameter Uncertainty in the IQWiG Efficiency Frontier to Decision‐Makers

Authors: Stollenwerk, Björn; Lhachimi, Stefan K.; Briggs, Andrew; Fenwick, Elisabeth; Caro, Jaime J.; Siebert, Uwe; Danner, Marion; +1 Authors

Communicating the Parameter Uncertainty in the IQWiG Efficiency Frontier to Decision‐Makers

Abstract

The Institute for Quality and Efficiency in Health Care (IQWiG) developed-in a consultation process with an international expert panel-the efficiency frontier (EF) approach to satisfy a range of legal requirements for economic evaluation in Germany's statutory health insurance system. The EF approach is distinctly different from other health economic approaches. Here, we evaluate established tools for assessing and communicating parameter uncertainty in terms of their applicability to the EF approach. Among these are tools that perform the following: (i) graphically display overall uncertainty within the IQWiG EF (scatter plots, confidence bands, and contour plots) and (ii) communicate the uncertainty around the reimbursable price. We found that, within the EF approach, most established plots were not always easy to interpret. Hence, we propose the use of price reimbursement acceptability curves-a modification of the well-known cost-effectiveness acceptability curves. Furthermore, it emerges that the net monetary benefit allows an intuitive interpretation of parameter uncertainty within the EF approach. This research closes a gap for handling uncertainty in the economic evaluation approach of the IQWiG methods when using the EF. However, the precise consequences of uncertainty when determining prices are yet to be defined.

Country
United States
Keywords

economic evaluation, Insurance, Health, 330, Communication, Cost-Benefit Analysis, Health Policy, Administrative Personnel, Uncertainty, 610, decision-making, Health Care Costs, Models, Theoretical, efficiency frontier, Economics, Medical, Germany, Humans, uncertainty, Research Articles

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Top 10%
Top 10%
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