Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?

GREGA, Dominik, Jozef KOLÁŘ and Martin VIŠŇANSKÝ. Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA? In ISPOR Europe 2022. 2022. ISSN 1098-3015. Available from: https://dx.doi.org/10.1016/j.jval.2022.09.275.

Basic information

• Original name: Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?
• Authors: GREGA, Dominik (703 Slovakia, belonging to the institution), Jozef KOLÁŘ (203 Czech Republic, belonging to the institution) and Martin VIŠŇANSKÝ (703 Slovakia).
• Edition: ISPOR Europe 2022, 2022.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 50202 Applied Economics, Econometrics
• Country of publisher: United States of America
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 4.500
• RIV identification code: RIV/00216224:14160/22:00127495
• Organization unit: Faculty of Pharmacy
• ISSN: 1098-3015
• Doi: http://dx.doi.org/10.1016/j.jval.2022.09.275
• Keywords in English: Cost-effectiveness; threshold; EEA
• Tags: rivok, ÚAF
• Tags: International impact, Reviewed

Abstract

Objectives: The Cost-Effectiveness Threshold (CET) is used as one of the last barriers to introducing new health interventions. A common CET could stimulate a debate on a common pricing policy for medicines within the European Economic Area (EEA). This work aimed to determine the average value of CET in the EEA and to propose a method of standardization of use in the EEA from the obtained values. Methods: Keywords "cost-effectiveness threshold in (country name)" were used to search for publications in the Web of Science database and on Google. For each country, the most up-to-date publications were searched, which contained specifically identified CETs or approved guidelines for that country. For comparison, CET for each country was recalculated according to the WHO recommendation of 3x GDP per capita in 2020. Results: The lowest lower limit of the CET was in Sweden (€ 9,523). Denmark had the highest maximum CET (€ 171,861 - 3x GDP) - but this is not an officially approved CET. The average lower bound CET in the EEA was € 26,272, and the average upper bound CET was € 56,873. In the EEA, Bulgaria has the lowest GDP per capita (€ 9,456) and Liechtenstein the highest (€ 164,941). The average GDP per capita in the EEA was € 39,071. Conclusions: Using CET as recommended by the WHO would raise the threshold in most countries, especially countries with high GDP per capita. Due to significant economic differences between EEA countries, it is impossible to determine a single CET for all countries. A common CET could be designated for 5 groups of countries broken down by GDP per capita (0-19,999; 20,000-29,999; 30,000-49,999; 50,000-79,999; 80,000 and more). The average value of GDP in the groups would be € 14,982; € 24,381; € 44,563; € 58 683, and € 118 080.