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But, he said, "The medical device industry, life science companies and patient groups would have a real problem with a centralized decision-making operation that denied people access to safe, effective treatments or imposed a cost-effectiveness standard on therapies that would be covered by Medicare or other forms of insurance".
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In sum, both the complete intervention and the two-session condom use skills component appeared to be at least moderately cost-effective in preventing HIV among at-risk urban women, using published cost-effectiveness standards for HIV prevention interventions.
When governments effectively impose lower prices on drugs under the guise of "cost-effectiveness" standards (through institutions like NICE or IPAB), they weaken patent protection and reduce incentives for innovation.
In 2008, Mr. Mica helped insert language into a federal highway bill that, at least in SunRail's case, eliminated a Bush administration ban on federal financing for rail projects that did not meet certain cost-effectiveness standards.
We do not want governments using cost-effectiveness standards to make an end-run around patents for the same reason we do not want to abolish the patent system: doing so will suppress innovation.
Finally, specific interventions, including those affecting healthy population, should be implemented following cost-effectiveness standards.
My results indicated that any subsidy of AU$200 or more for a GP visit with a 25% compliance rate would be above the Australian median cost-effectiveness standards.
In fact, one likely IPAB recommendation embraced by Dr. Donald Berwick, the new administrator of the Centers for Medicare and Medicaid Services would be for Medicare to create a new "cost effectiveness" standard for covering medical products.
A recent empirical estimate to update the HD cost effectiveness standard arrived at an average of $129,000 per Quality Added Life Years (QALY) with a wide distribution.
By increasing the proportion of patients in the more favourable decision tree outcomes (that is, avoidance of ambulance call-outs and hospital admissions), BUCCOLAM is expected to reduce the resource use and HRQoL burdens of PACS, driving the incremental cost-effectiveness over standard care in all countries.
Therefore, interventions should be assessed on their cost-effectiveness v. standard practice before being included in guidelines.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com