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Life at a premium: considering an end-of-life premium in Value Based Reimbursement

Author

Listed:
  • Christopher McCabe

    (Department of Emergency Medicine, University of Alberta, University Terrace, 8303 112th St. Edmonton, Alberta, Canada.)

  • Mike Paulden

    (Department of Emergency Medicine, University of Alberta, University Terrace, 8303 112th St. Edmonton, Alberta, Canada.)

  • James O'Mahony

    (Trinity College Dublin, Ireland)

  • Richard Edlin

    (Health Systems, School of Population Health, University of Auckland)

  • Anthony Culyer

    (Centre for Health Economics, University of York, UK. Institute of Health Policy, Management and Evaluation, University of Toronto, Canada.)

Abstract

The increasingly explicit use of health technology assessment continues to generate substantial public and academic policy debates. The debates are about puzzling issues whose correct resolution is not immediately obvious and the very explicitness of HTA’s use pinpoints the issues and locates those likely to gain or lose from the solutions. The application of an end-of-life premium is one of a number of proposed ‘values’ for affecting who wins and who loses from HTA and reimbursement processes. In this chapter we review the literature on value premiums generally and the end of life premium specifically, before describing a conceptual framework for coherent use of value premiums in reimbursement decision process and how an end-of-life premium might work.

Suggested Citation

  • Christopher McCabe & Mike Paulden & James O'Mahony & Richard Edlin & Anthony Culyer, 2014. "Life at a premium: considering an end-of-life premium in Value Based Reimbursement," Working Papers 1407, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.
    • Handle: RePEc:lee:wpaper:1407
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    File URL: http://medhealth.leeds.ac.uk/download/1102/auhe_wp14_07
    File Function: First version, 2014
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    More about this item

    Keywords

    end-of-life; Health Technology Assessment;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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