Value, Affordability, and Decision Making

Efficient decisions about allocating health care budgets require assessment of the effects of health care interventions and the value for money they provide. Decision-making processes leading to funding decisions should be structured and evidence-based.

Health Technology Assessment of Gene Therapies: Are Our Methods Fit for Purpose?
Publication

Health Technology Assessment of Gene Therapies: Are Our Methods Fit for Purpose?

1 June 2022

Gene therapies represent a new era of medicine, offering the potential for truly transformational health gains, and further benefits for society and health systems.

Cracks through the ice on a melting glacier in Alaska
Publication

Learnings from the Assessments of Entrectinib and Larotrectinib: Health Technology Assessment Challenges Associated with Tumour-Agnostic Therapies

1 January 2022

A paradigm shift is occurring in cancer care with the introduction of tumour-agnostic therapies, for which the indication is defined by the molecular signature of the…

US Capitol building at sunset Washington DC USA
Insights

OHE Critique of CBO’S Pharmaceutical Investment Model Provides Warning for Policymakers on Reliability of Estimates

3 December 2021

As US policymakers consider the potential implications of the drug pricing reforms contained within the Build Back Better Act, OHE releases a critique of the Congressional Budget Office scoring, demonstrating that the estimates are highly uncertain and policymakers should exercise caution when relying upon them.

Cracks through the ice on a melting glacier in Alaska
News

Opportunity Cost in Health Care: a Favourite Research Topic for OHE

23 November 2021

OHE’s Chris Sampson is leading a new Research Topic published in Frontiers in Health Services, titled ‘Opportunity Costs in Health Care: Cost-effectiveness Thresholds and Beyond’. The…

Close-up of a glass pipette releasing a droplet over a row of test tubes in blue and red neon lighting.
Insights

How Should the World Pay for a Coronavirus Disease (COVID-19) Vaccine? Where are we 6 Months on?

1 July 2021

The Value in Health May issue includes the paper “How Should the World Pay for a Coronavirus Disease (COVID-19) Vaccine?”. Finalised in December 2020, it includes:…

Colorful stacked blocks with coin piles and rings on a pink background, suggesting growth or wealth building.
Insights

Allocating Public Spending Efficiently: Is There a Need for a Better Mechanism to Inform Decisions in the UK and Elsewhere?

16 June 2021

Our new paper explores the evidence currently being used to allocate budgets between public sector activities in the UK and its limitations. We argue that there…

multiple bridges over the sea, in the back end of the picture all the bridges are turning right
Insights

Cost-Effectiveness Thresholds and Expert Elicitation: a Bridge Too Far?

29 April 2021

A team at the University of York recently published a study in which they sought to generate more reliable evidence to inform the estimation of marginal…

Coronavirus prevention medical surgical masks and hand sanitizer gel bottle dispenser for Covid-19 corona virus protection Panoramic of PPE
Insights

Key Learnings From COVID-19: The Importance of Portfolio Management and How to Procure, Pay For, Distribute, and Use Vaccines During a Pandemic

21 April 2021

In this blog, we reflect on some of the key learnings from the recent pull and push strategies to develop COVID-19 vaccines in the UK, the US, and the European Union. We use our recent work on portfolio management, pricing, and procurement of COVID-19 vaccines (forthcoming as an OHE report) to organise the review.

Gallery wall with two hanging frames: left shows a pale landscape photo, right is an empty canvas in a dark wooden frame.
Insights

Reconciling MCDA and Augmented Cost-Effectiveness Analysis: Do We Get the Same Decisions?

14 April 2021

A new paper explores the equivalence of Multi-Criteria Decision Analysis and Augmented Cost-Effectiveness Analysis in adding elements of value to QALY-based cost-effectiveness decision making. It finds that they are equivalent methods under reasonable assumptions when elements of value can be aggregated into two separate top-level groups: health and financial.