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  • Valuing Health: The Generalized and Risk-Adjusted Cost-Effectiveness (GRACE) Model

    Valuing Health by Phelps, Charles E.; Lakdawalla, Darius N.;

    The Generalized and Risk-Adjusted Cost-Effectiveness (GRACE) Model

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    Product details:

    • Publisher OUP USA
    • Date of Publication 9 February 2024

    • ISBN 9780197686287
    • Binding Hardback
    • No. of pages322 pages
    • Size 156x235x21 mm
    • Weight 585 g
    • Language English
    • 519

    Categories

    Short description:

    Valuing Health uses the generalized risk-adjusted cost-effectiveness (GRACE) model to demonstrate the economic value of improving the quality of life for individuals with disability or severe illness.

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    Long description:

    Cost-effectiveness analysis (CEA) plays an important role in health policy debates, helping to shape resource allocation and pricing decisions. Yet many economists also recognize that the current framework can offer misleading and incomplete results. Current CEA methods imply that health improvements are equally valuable to those in good health and poor health, which fails to recognize the increased value of health improvements for those with severe illness or disability.

    Valuing Health introduces the generalized risk-adjusted cost-effectiveness (GRACE) model as a more accurate method for determining the value of medical treatments and technologies. The GRACE model generalizes the underlying CEA assumption of constant gains in health care, demonstrating through diminishing returns the greater economic value of improving the quality of life for individuals with disability or severe illness. Valuing Health also provides sensitivity analyses to show how value measurements change alongside key parameters, including the potential effects of various combinations of risk preferences on the aggregate value of treating a defined population with any set of available treatments. It concludes with a discussion of the ethical differences between the CEA and GRACE methods and outlines steps for implementing the GRACE model to replace standard CEA as the proper method for valuing medical interventions.

    Valuing Health offers a revelatory reconceptualization of current valuation models in health economics with clear guidance for inclusive pricing and regulation that reflects the true value of modern health care.

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    Table of Contents:

    Definitions
    Preface
    Chapter 1: Why We Need Cost-Effectiveness Analysis, How It Is Done, and Why It Needs Fixing
    Chapter 2: Diminishing Returns...Everywhere
    Chapter 3: How Uncertain Treatment Outcomes Affect Value
    Chapter 4: The Total Value of Medical Interventions and the Tradeoff between Qol and Le
    Chapter 5: The Consequences of Permanent Disability
    Chapter 6: Multi Period Models
    Chapter 7: In Search of Decision Thresholds
    Chapter 8: Measuring the Risk Parameters
    Chapter 9: Putting Together the Parts
    Chapter 10: Transition Issues
    Chapter 11: Consequences for Health Plans
    Chapter 12: Welfare and Equity Implications of Grace
    Chapter 13: Conclusions and Next Steps
    References

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