The appropriate role of cost-effectiveness in determining device coverage: a case study of drug-eluting stents

Health Aff (Millwood). 2008 Nov-Dec;27(6):1577-86. doi: 10.1377/hlthaff.27.6.1577.

Abstract

The use of incremental cost-effectiveness ratios based on quality-adjusted life-years (QALYs) as a critical determinant of what should be covered by a health system is a growing trend. This presents challenges when applied to rapidly evolving technologies. The case study here focuses on the example of drug-eluting stents and the four-year change in cost-effectiveness as determined by the U.K. National Institute for Health and Clinical Excellence (NICE). We contend that classic cost-effectiveness as a blunt instrument for determining what should be covered may lead to erroneous conclusions when a broader perspective and the impact on health outcomes and costs are considered.

MeSH terms

  • Advisory Committees
  • Cost-Benefit Analysis*
  • Drug-Eluting Stents / economics*
  • Organizational Case Studies
  • Quality-Adjusted Life Years
  • Reimbursement Mechanisms*
  • State Medicine
  • United Kingdom