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

a 2022

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

GREGA, Dominik, Jozef KOLÁŘ and Martin VIŠŇANSKÝ

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

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

50202 Applied Economics, Econometrics

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.500

RIV identification code

RIV/00216224:14160/22:00127495

Organization unit

Faculty of Pharmacy

ISSN

DOI

http://dx.doi.org/10.1016/j.jval.2022.09.275

Keywords in English

Cost-effectiveness; threshold; EEA

Abstract

V originále

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.

Citovat

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.

@proceedings{2240340,
   author = {Grega, Dominik and Kolář, Jozef and Višňanský, Martin},
   booktitle = {ISPOR Europe 2022},
   doi = {http://dx.doi.org/10.1016/j.jval.2022.09.275},
   keywords = {Cost-effectiveness; threshold; EEA},
   language = {eng},
   title = {Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?},
   url = {https://www.valueinhealthjournal.com/article/S1098-3015(22)02479-2/fulltext},
   year = {2022}
}

TY  - CONF
ID  - 2240340
AU  - Grega, Dominik - Kolář, Jozef - Višňanský, Martin
PY  - 2022
TI  - Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?
KW  - Cost-effectiveness
KW  - threshold
KW  - EEA
UR  - https://www.valueinhealthjournal.com/article/S1098-3015(22)02479-2/fulltext
N2  - 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.
ER  -

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

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