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Trends in Author-Reported Cost-Effectiveness Thresholds in the United States from 1995 to 2018: Implications for Discount Rates

Author

Listed:
  • Ankur Pandya

    (Harvard T.H. Chan School of Public Health)

  • Mike Paulden

    (University of Alberta)

  • Jinyi Zhu

    (Harvard T.H. Chan School of Public Health)

  • Tara A. Lavelle

    (Tufts University School of Medicine [Boston])

  • James K. Hammitt

    (TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse)

Abstract

Background: Decisions based on cost-effectiveness analyses (CEAs) using equal discount rates for health and cost outcomes are consistent with using a constant cost-effectiveness threshold over time. We sought to analyze trends in author-reported cost per quality-adjusted life-year (QALY) thresholds from CEAs published for the US setting over 24 y to retrospectively assess whether the recommended equal discount rates for costs and health were consistent with trends in the CEA literature. Methods: We used the Tufts CEA Registry to assess whether author-reported cost-effectiveness thresholds changed in CEAs published for the US setting between 1995 and 2018 and back-calculated the implied discount rate for health based on these trends for inflation-adjusted cost-effectiveness thresholds and an annual discount rate for costs of 3%.

Suggested Citation

  • Ankur Pandya & Mike Paulden & Jinyi Zhu & Tara A. Lavelle & James K. Hammitt, 2022. "Trends in Author-Reported Cost-Effectiveness Thresholds in the United States from 1995 to 2018: Implications for Discount Rates," Post-Print hal-03965258, HAL.
    • Handle: RePEc:hal:journl:hal-03965258
    DOI: 10.1177/0272989X221097106
    as

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