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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.
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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