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Deloitte Comparative Effectiveness Study Evaluates Potential Savings Opportunities for U.S. Health Care System
Date:5/19/2009

health care investment in the United States is $2 trillion, less than 1 percent is invested in assessing the comparative effectiveness of available interventions.
  • The American Recovery and Reconstruction Act (AARA) of 2009 allocated $1.1 billion to comparative effectiveness research. Although this represents a major increase in resources for this research, the cost of building national programmatic capacity and establishing a comparative effectiveness framework; support for trials, syntheses and analytics; and the development of dissemination and education strategies will challenge this initial investment.
  • National governments in Britain, Canada, Germany, Australia, France and the Netherlands have responded with unique strategies to deal with evidence development in clinical and comparative effectiveness.
  • Britain and Australia have designed programs that are directly linked to decisions that determine national health benefits. Germany and Canada use the outcomes of their programs in an advisory capacity for national health benefit decisions.
  • Building capacity to expand study, monitoring and clinical application of the relative effectiveness of health care interventions is a major challenge in reforming the U.S. health care system.
  • Research and development (R&D) processes in life science organizations will necessarily adapt to the realities of comparative effectiveness. Leaders will necessarily become more risk averse as comparative effectiveness becomes a standard for coverage.
  • Transparency in clinical R&D will likely follow the implementation of comparative effectiveness. The visibility of processes for determining efficacy and effectiveness will be visible to all stakeholders, and side-by-side comparisons will be a basis for active discussion among stakeholders.

  • "As the life sciences industry braces for health
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    SOURCE Deloitte
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