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Breaking up is hard to do : the economic impact of provisional funding contingent upon evidence development

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journal contribution
posted on 2011-10-01, 00:00 authored by D Mortimer, J Li, Jennifer WattsJennifer Watts, A Harris
Funding contingent upon evidence development (FED) has recently been the subject of some considerable debate in the literature but relatively little has been made of its economic impact. We argue that FED has the potential to shorten the lag between innovation and access but may also (i) crowd-out more valuable interventions in situations in which there is a fixed dedicated budget; or (ii) lead to a de facto increase in the funding threshold and increased expenditure growth in situations in which the programme budget is open-ended. Although FED would typically entail periodic review of provisional or interim listings, it may prove difficult to withdraw funding even at cost/QALY ratios well in excess of current listing thresholds. Further consideration of the design and implementation of FED processes is therefore required to ensure that its introduction yields net benefits over existing processes.

History

Journal

Health economics, policy and law

Volume

2011

Issue

6

Pagination

509 - 527

Publisher

Cambridge University Press

Location

Cambridge, England

ISSN

1744-134X

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2011, Cambridge University Press