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IQWiG presents a method for evaluating the relation between cost and benefit
Date:11/30/2009

rector of IQWiG, "These disciplines each have their own language and their own specifications. Communication therefore takes longer than it would within one field."

However, Peter Sawicki feels that the efforts have paid off. "At present we have a method that ensures that nobody is denied necessary medical care. This cannot continue, especially not as long as we still spend money on medical treatment that is not only unnecessary, but superfluous."

Analysis of efficiency frontiers continues to be developed

The present methods paper serves as the basis for working on commissions issued by the Federal Joint Committee (G-BA) with the aim of passing on the recommendations for setting maximum reimbursable prices to the GKV-Spitzenverband. The G-BA gave notification of the first health economic assessment commission shortly after the paper was completed. As with the benefit assessment methods, the health economic methods will also be continually revised to keep up-to-date with current requirements and developments in research and health care.

The method was developed to give the GKV-Spitzenverband a recommendation for setting maximum reimbursable prices. However, in addition to this aim, which is defined in the German Social Code Book V (35b), it is also suitable for determining appropriate cost to benefit ratios for any therapy. Thus, if the legislation was amended, it could be conceivable that all newly approved drugs are assessed by this method in order to establish a reasonable price.

An appraisal of comments on the draft Methods version 2.0 together with the Working Papers on "Costs" and "Modelling" were published simultaneously with the "General Methods on Evaluating the Relation between Cost and Benefit" on 19 October 2009. An English translation of the Methods and Working Papers is available as of 30 November 2009.


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Contact: Dr. Anna-Sabine Ernst
info@iqwig.de
49-022-135-6850
Institute for Quality and Efficiency in Health Care
Source:Eurekalert

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