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Methods and Practical Considerations for Conducting Budget Impact Analysis for Non-Pharmaceutical Interventions

Author

Listed:
  • Xuanqian Xie

    (Ontario Health)

  • Jennifer Guo

    (Ontario Health)

  • Alexis K. Schaink

    (Ontario Health)

  • Kamilla Guliyeva

    (Ontario Health)

  • Chunmei Li

    (Ontario Health)

  • Wendy J. Ungar

    (Hospital for Sick Children Research Institute
    University of Toronto)

Abstract

Background Health technology assessment (HTA) can be conducted at the national, provincial, or hospital level. Although provincial and hospital-based HTAs often focus on non-pharmaceutical interventions, budget impact analysis (BIA) methods for non-pharmaceutical interventions have received less attention in the literature. Methods We reviewed HTAs of non-pharmaceutical interventions published since 2015 by a Canadian provincial HTA agency, evaluating the characteristics and challenges of conducting a BIA. Results We summarized the unique characteristics of BIAs for different categories of interventions, including surgery and other procedures, diagnostic or screening tests, therapeutic programs, and digital health technologies. We then discussed specific methodological and practical considerations for conducting a BIA of a surgical or other hospital-based procedure. Critical points for BIA methods include the following: (1) when estimating the size of a target population, healthcare system capacity must be accounted for, and historical volumes may offer more realistic figures than prevalence and incidence rates; (2) factors that affect the uptake of a new intervention include guideline recommendations, labor and infrastructure requirements for implementation, and the target population size; (3) when interpreting a budget impact that shows cost savings, analysts must address where the savings are generated from and whether they can be reallocated. Some of the considerations discussed may also apply to HTAs of pharmaceuticals. Conclusions When conducting a BIA of a non-pharmaceutical intervention, addressing these methodological considerations may help in better predicting the financial impact of the new intervention for the public payer and guide appropriate budget allocation for healthcare system planning.

Suggested Citation

  • Xuanqian Xie & Jennifer Guo & Alexis K. Schaink & Kamilla Guliyeva & Chunmei Li & Wendy J. Ungar, 2025. "Methods and Practical Considerations for Conducting Budget Impact Analysis for Non-Pharmaceutical Interventions," Applied Health Economics and Health Policy, Springer, vol. 23(2), pages 197-208, March.
  • Handle: RePEc:spr:aphecp:v:23:y:2025:i:2:d:10.1007_s40258-024-00943-8
    DOI: 10.1007/s40258-024-00943-8
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    1. Stephen Martin & James Lomas & Karl Claxton & Francesco Longo, 2021. "How Effective is Marginal Healthcare Expenditure? New Evidence from England for 2003/04 to 2012/13," Applied Health Economics and Health Policy, Springer, vol. 19(6), pages 885-903, November.
    2. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884, Decembrie.
    3. Mauskopf, Josephine & Chirila, Costel & Birt, Julie & Boye, Kristina S. & Bowman, Lee, 2013. "Drug reimbursement recommendations by the National Institute for Health and Clinical Excellence: Have they impacted the National Health Service budget?," Health Policy, Elsevier, vol. 110(1), pages 49-59.
    4. Yashika Chugh & Maria Francesco & Shankar Prinja, 2021. "Systematic Literature Review of Guidelines on Budget Impact Analysis for Health Technology Assessment," Applied Health Economics and Health Policy, Springer, vol. 19(6), pages 825-838, November.
    5. Rachev, Boris & Uyei, Jennifer & Singh, Rajpal & Kowal, Stacey & Johnson, C. Erwin, 2021. "Stakeholder point of view on prescription drug affordability - a systematic literature review and content analysis," Health Policy, Elsevier, vol. 125(9), pages 1158-1165.
    6. Shankar Prinja & Yashika Chugh & Kavitha Rajsekar & V. R. Muraleedharan, 2021. "National Methodological Guidelines to Conduct Budget Impact Analysis for Health Technology Assessment in India," Applied Health Economics and Health Policy, Springer, vol. 19(6), pages 811-823, November.
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