IDEAS home Printed from https://ideas.repec.org/a/spr/aphecp/v21y2023i4d10.1007_s40258-023-00800-0.html
   My bibliography  Save this article

Budget Impact Analysis of the FreeStyle Libre Flash Continuous Glucose Monitoring System® in Patients with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus with Multiple Daily Insulin Injections in Argentina

Author

Listed:
  • Alfredo Palacios

    (Institute for Clinical Effectiveness and Health Policy (IECS)
    Universidad de Buenos Aires
    University of York)

  • Federico Rodriguez-Cairoli

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Dario Balan

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Carlos Rojas-Roque

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Carolina Moreno-López

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Barbara Braun

    (Sanatorio de la Trinidad Palermo)

  • Federico Augustovski

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Andrés Pichon-Riviere

    (Institute for Clinical Effectiveness and Health Policy (IECS))

  • Ariel Bardach

    (Institute for Clinical Effectiveness and Health Policy (IECS)
    Center for Research in Epidemiology and Public Health (CIESP))

Abstract

Objective To estimate the budget impact of the potential coverage of FreeStyle Libre Flash Continuous Glucose Monitoring System (FSL) for glycemia monitoring in all type 1 diabetes mellitus (T1DM) patients and in those with type 2 diabetes mellitus (T2DM) with multiple daily insulin injections, from the social security and the private third-party payer’s perspective in Argentina. Methods A budget impact model was developed to estimate the cost difference between the self-monitoring of blood glucose (standard of care) and FSL over 5 years. Input parameters were retrieved from local literature complemented by expert opinion. Health care costs were estimated by a micro-costing approach and reported in USD as of April 2022 (1 USD = 113.34 Argentine pesos). One-way sensitivity and scenario analyses were conducted. Results From a social security third-party payer perspective, the incorporation of FSL was associated with net savings per member per month (PMPM) of $0.026 (Year 1) to $0.097 (Year 5) and net savings PMPM of $0.002 (Year 1) to $0.008 (Year 5) for T1DM and T2DM patients, respectively. Similar findings are reported from the private third-party payer perspective. The budget impact results were more sensitive to the acquisition costs of the FSL and test strips. Conclusion The potential coverage of FSL in patients with T1DM and T2DM with multiple daily insulin injections could be associated with small financial savings considering current technology acquisition costs (FSL and test strips) for social security and the private sector third-party payers in Argentina.

Suggested Citation

  • Alfredo Palacios & Federico Rodriguez-Cairoli & Dario Balan & Carlos Rojas-Roque & Carolina Moreno-López & Barbara Braun & Federico Augustovski & Andrés Pichon-Riviere & Ariel Bardach, 2023. "Budget Impact Analysis of the FreeStyle Libre Flash Continuous Glucose Monitoring System® in Patients with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus with Multiple Daily Insulin Injections ," Applied Health Economics and Health Policy, Springer, vol. 21(4), pages 637-650, July.
    • Handle: RePEc:spr:aphecp:v:21:y:2023:i:4:d:10.1007_s40258-023-00800-0
    DOI: 10.1007/s40258-023-00800-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s40258-023-00800-0
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s40258-023-00800-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Zsolt Mogyorosy & Peter Smith, 2005. "The main methodological issues in costing health care services: A literature review," Working Papers 007cherp, Centre for Health Economics, University of York.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. M. Carreras & M. García-Goñi & P. Ibern & J. Coderch & L. Vall-Llosera & J. Inoriza, 2011. "Estimates of patient costs related with population morbidity: can indirect costs affect the results?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 289-295, August.
    2. Hoa Thi Nguyen & Manuela Allegri & Jörg Heil & André Hennigs, 2023. "Population-Level Impact of Omitting Axillary Lymph Node Dissection in Early Breast Cancer Women: Evidence from an Economic Evaluation in Germany," Applied Health Economics and Health Policy, Springer, vol. 21(2), pages 275-287, March.
    3. Pokhilenko, I. & Kast, T. & Janssen, L. M.M. & Evers, S. M.A.A. & Paulus, A. T.G. & Simon, J. & Mayer, S. & Berger, M. & Konnopka, A. & Muntendorf, L. & Brodszky, V. & García-Pérez, L. & Park, A-La & , 2023. "International comparability of reference unit costs of education services: when harmonizing methodology is not enough (PECUNIA project)," LSE Research Online Documents on Economics 117769, London School of Economics and Political Science, LSE Library.
    4. Frank G. Sandmann & Julie V. Robotham & Sarah R. Deeny & W. John Edmunds & Mark Jit, 2018. "Estimating the opportunity costs of bed‐days," Health Economics, John Wiley & Sons, Ltd., vol. 27(3), pages 592-605, March.
    5. Diriba Feyisa & Kiddus Yitbarek & Teferi Daba, 2021. "Cost of provision of essential health Services in Public Health Centers of Jimma zone, Southwest Ethiopia; a provider perspective, the pointer for major area of public expenditure," Health Economics Review, Springer, vol. 11(1), pages 1-15, December.
    6. Josephine C. Jacobs & Paul G. Barnett, 2017. "Emergent Challenges in Determining Costs for Economic Evaluations," PharmacoEconomics, Springer, vol. 35(2), pages 129-139, February.
    7. Carlos Rojas-Roque & Alfredo Palacios, 2023. "A Systematic Review of Health Economic Evaluations and Budget Impact Analyses to Inform Healthcare Decision-Making in Central America," Applied Health Economics and Health Policy, Springer, vol. 21(3), pages 419-440, May.
    8. Chrysanthos D. Christou & Eleni C. Athanasiadou & Andreas I. Tooulias & Argyrios Tzamalis & Georgios Tsoulfas, 2022. "The process of estimating the cost of surgery: Providing a practical framework for surgeons," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(4), pages 1926-1940, July.
    9. Leslie R. Zwerwer & Jan Kloka & Simon Pol & Maarten J. Postma & Kai Zacharowski & Antoinette D. I. Asselt & Benjamin Friedrichson, 2024. "Mechanical ventilation as a major driver of COVID-19 hospitalization costs: a costing study in a German setting," Health Economics Review, Springer, vol. 14(1), pages 1-17, December.
    10. Zuzana Špacírová & David Epstein & Leticia García-Mochón & Joan Rovira & Antonio Olry de Labry Lima & Jaime Espín, 2020. "A general framework for classifying costing methods for economic evaluation of health care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(4), pages 529-542, June.
    11. Claudia Fischer & Susanne Mayer & Nataša Perić & Judit Simon, 2022. "Harmonization issues in unit costing of service use for multi-country, multi-sectoral health economic evaluations: a scoping review," Health Economics Review, Springer, vol. 12(1), pages 1-13, December.
    12. M. Carreras & Manuel García-Goñi & Pere Ibern & J. Coderch & L. Vall-Llosera & José María Inoriza, 2009. "Estimates of patient costs related with population morbidity: Can indirect costs affect the results?," Economics Working Papers 1138, Department of Economics and Business, Universitat Pompeu Fabra.
    13. Klaus Kaier & Silvia Hils & Stefan Fetzer & Philip Hehn & Anja Schmid & Dieter Hauschke & Lioudmila Bogatyreva & Bernd Jänigen & Przemyslaw Pisarski, 2017. "Results of a randomized controlled trial analyzing telemedically supported case management in the first year after living donor kidney transplantation - a budget impact analysis from the healthcare pe," Health Economics Review, Springer, vol. 7(1), pages 1-8, December.
    14. Banke-Thomas, Aduragbemi & Ayomoh, Francis & Aberjirinde, Ibukun-Oluwa & Banke-Thomas, Oluwasola & Eboreime, Ejemai Amaize & Ameh, Charles, 2021. "Cost of utilising maternal health services in low- and middle-income countries: a systematic review," LSE Research Online Documents on Economics 105081, London School of Economics and Political Science, LSE Library.
    15. Charlotte Deogan & Natalie Zarabi & Nils Stenström & Pi Högberg & Eva Skärstrand & Edison Manrique-Garcia & Kristian Neovius & Anna Månsdotter, 2015. "Cost-Effectiveness of School-Based Prevention of Cannabis Use," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 525-542, October.
    16. Susanne Mayer & Michael Berger & Nataša Perić & Claudia Fischer & Alexander Konnopka & Valentin Brodszky & Silvia M. A. A. Evers & Leona Hakkaart-van Roijen & Mencia Ruiz Guitérrez Colosia & Luis Salv, 2024. "The Development of a New Approach for the Harmonized Multi-Sectoral and Multi-Country Cost Valuation of Services: The PECUNIA Reference Unit Cost (RUC) Templates," Applied Health Economics and Health Policy, Springer, vol. 22(6), pages 783-796, November.
    17. Susanne Mayer & Michael Berger & Alexander Konnopka & Valentin Brodszky & Silvia M. A. A. Evers & Leona Hakkaart-van Roijen & Mencia R. Guitérrez-Colosia & Luis Salvador-Carulla & A-La Park & William , 2022. "In Search for Comparability: The PECUNIA Reference Unit Costs for Health and Social Care Services in Europe," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    18. Indrani Gupta & Mayur Trivedi & Vishal Jani & Kanksha Barman & Avantika Ranjan & Manas Sharma, 2021. "Costing Of Health And Wellness Centre A Case Study Of Gujarat," IEG Working Papers 415, Institute of Economic Growth.
    19. Alfredo Palacios & Carlos Rojas-Roque & Lucas González & Ariel Bardach & Agustín Ciapponi & Claudia Peckaitis & Andres Pichon-Riviere & Federico Augustovski, 2021. "Direct Medical Costs, Productivity Loss Costs and Out-Of-Pocket Expenditures in Women with Breast Cancer in Latin America and the Caribbean: A Systematic Review," PharmacoEconomics, Springer, vol. 39(5), pages 485-502, May.
    20. Reinhard Busse & Jonas Schreyögg & Peter C. Smith, 2008. "Variability in healthcare treatment costs amongst nine EU countries – results from the HealthBASKET project," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 1-8, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:aphecp:v:21:y:2023:i:4:d:10.1007_s40258-023-00800-0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.