Health economics

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Elsner et al. conducted a literature review to evaluate the economic value of cardiovascular implantable electronic devices for heart failure treatment, with a focus on the European context over the past 10 years. The review assessed the economic implications of various device therapies, including cardiac resynchronization therapy with a pacemaker (CRT-P), CRT with a defibrillator (CRT-D), implantable cardioverter-defibrillators (ICDs), pacemakers, and (semi)automated telemonitoring, using QALYs and ICERs as standardized measures of cost-effectiveness. All cardiovascular implantable electronic devices were found to fall within commonly accepted cost-effectiveness thresholds.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Elvidge et al. introduced the CHEERS-AI checklist, a standardized reporting framework for economic evaluations of AI-based health interventions. Developed through a Delphi study with multidisciplinary experts, the checklist comprises 38 reporting items, including AI-specific considerations. By improving transparency and reproducibility, CHEERS-AI aims to enhance the quality of cost-effectiveness assessments and facilitate informed decision-making in AI-driven healthcare.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Larsen et al. explored potential healthcare savings in Denmark associated with the use of artificial intelligence-assisted vital signs monitoring systems. Based on the hypothesis, implementing these systems could potentially reduce the occurrence of serious adverse events in hospitalized patients. Utilizing Danish national registry data, the authors estimated economic benefits from the implementation of AI-assisted monitoring systems, highlighting significant potential savings from decreased length of hospital stay and fewer readmissions. However, the study highlighted the need for a more precise evaluation of the clinical effectiveness of AI-assisted technologies and detailed consideration of associated implementation costs.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, van den Broek-Altenburg et al. reviewed 20–25 years of economic value assessment approaches in healthcare, highlighting the growing focus on individual preferences over broad societal metrics in value-based care models. The study underscores the complexities of incorporating patient-specific preferences into economic evaluations, and addresses recognized limitations of QALY measures. The authors discussed emerging alternative valuation frameworks that could influence future policy and reimbursement decision-making.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Donovan et al. conducted a qualitative interview study with 16 experts to investigate the gaps in capturing implementation costs within economic evaluations. The study revealed four key barriers: difficulties in defining, collecting, and valuing implementation costs; the lack of standardized methodologies; and the lack of multidisciplinary collaboration in enabling implementation costing. The authors advocated for standardized approaches to implementation cost estimation, emphasizing that improved methodologies could enhance confidence in economic assessments and better inform resource allocation.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Cocco et al. applied early economic modeling to establish target product profile specifications based on cost-effectiveness considerations, helping developers define key test performance criteria. The authors used the example of a novel rapid diagnostic for Clostridioides difficile infection in the UK setting. The study underscores how well-defined target product profiles can guide diagnostic test development to address pressing clinical needs.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Tornvall et al. conducted a systematic review of 12 economic evaluations of mHealth interventions for type 2 diabetes management. Most solutions ‒ featuring smartphone applications with text messaging and connected medical devices ‒ were generally deemed cost-effective or cost-saving. However, the authors highlighted moderate reporting quality, with a median CHEERS score of 59%. Methodological heterogeneity in outcome reporting further limits the overall robustness and comparability of the evidence for decision-makers.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Fanshawe et al. systematically reviewed statistical methods for analyzing the performance of sequential diagnostic testing. The authors addressed five key themes: methods for combining tests, estimation of conditional dependence, repeated testing for risk assessment, adjustment for an imperfect reference standard, and meta-analysis of test sequences. This review offers methodological insights that enhance the precision and reliability of diagnostic evaluations.

In December 2024, the Austrian Institute for HTA published a project report on the threshold values in health economic evaluations and decision-making. It concluded that, despite their complexity, implementing thresholds could enhance transparency and efficiency in health systems.

In January 2024, the Dutch Healthcare Institute (ZIN) published an update of the “Guideline for conducting health economic evaluations”.

On December 04, 2023, the Dental and Pharmaceutical Benefits Agency initiated its work on a few more health economic assessments of Sedaconda-ACD by Sedana Medical, a disposable product for administering anesthetic gases for patients treated on a ventilator and an alternative to intravenous anesthetics as well as robotic systems for spine surgery, including ExcelsiusGPS by Globus Medical, Mazor X Stealth by Medtronic, Cirq by Brainlab. The assessments are planned to be accomplished during 2024.

Market access eventually comes down to the hospital or individual payer level. Interactive digital tools are the essential instrument to present the value of medical technologies. MTRC launched a service of digital health economic models to present the clinical and economic value of medical technologies to hospital administrators and payers. MTRC combines an unparalleled knowledge of market access realities, drivers and barriers to the adoption of medical technologies, costing for healthcare services in 34 European countries, health economic technical expertise, and the capacity to develop nice-looking digital presentation tools at a moderate cost. See a live demo of the digital model on the website.