Value-based pricing of cognitive behavioral therapy for depression in primary care: an economic evaluation.
BMC Health Serv Res
; 24(1): 317, 2024 Mar 08.
Article
en En
| MEDLINE
| ID: mdl-38459545
ABSTRACT
OBJECTIVES:
Value-based pricing (VBP) determines product prices based on their perceived benefits. In healthcare, VBP prices medical technologies considering health outcomes and other relevant factors. This study applies VBP using economic evaluation to provider-patient communication, taking cognitive behavioral therapy (CBT) for adult primary care patients with depressive disorders as a case study.METHODS:
A 12-week decision-tree model was developed from the German social health insurance system's perspective, comparing CBT against the standard of care. The influence of an extended time horizon on VBP was assessed using a theoretical model and long-term data spanning 46 months.RESULTS:
Using a willingness-to-pay threshold of 88,000 per quality-adjusted life year gained, the base-case 50-minute compensation rate for CBT was 45. Assuming long-term effects of CBT significantly affected the value-based compensation, increasing it to 226.CONCLUSIONS:
This study showcases the potential of applying VBP to CBT. However, significant price variability is highlighted, contingent upon assumptions regarding CBT's long-term impacts.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia Cognitivo-Conductual
/
Depresión
Límite:
Adult
/
Humans
Idioma:
En
Revista:
BMC Health Serv Res
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania
Pais de publicación:
Reino Unido