Budget Impact Model (BIM) of the Newly Proposed Value-Based Positive Airway Pressure (PAP) Therapy Based on Telemonitoring in Patients with Obstructive Sleep Apnea (OSA) in Spain.
Author(s)
Deger Wehr M1, Barrubés J2, Correia S3, Josseran A4, Alaber J5, Mayoral Aguilera A6
1ResMed Science Center, Münich, BY, Germany, 2Antares Consulting, Barcelona, Spain, 3ResMed Science Center, Madrid, Spain, 4ResMed Science Center, 69791 Saint Priest, France, 5Oxigen Salud, Sant Cugat del Vallès, Spain, 6Oxigen Salud, Barcelona, Spain
Presentation Documents
OBJECTIVES:
Currently, in Spain the home care model for OSA patients with PAP treatment is standard of care for all patients. In public tenders the adherence of patients and individual needs are not considered. The value-based care model aims to improve the adherence by identifying non-adherent patients at an earlier stage with telemonitoring and provide additional education support. This economic analysis shows the budget impact of the newly proposed model from the National Health System perspective.METHODS:
In order to estimate the economic impact of the implementation of the value-based care model, a budget impact model was developed. For the base case scenario, direct healthcare costs were obtained from a recent study in Spain and were reported as 354€/year for adherent and 1,855€/year for non-adherent patients. 60% adherence rate was assumed as baseline based on published literature and an increase of 16% is targeted with the new model. An average cost (260€/year) for current PAP therapy was assumed provided by home care providers and for the proposed model a lower rate was estimated for the basic therapy provision (215€), in addition to telemonitoring (45€) for all patients and additional training (90€) for non-adherent group.RESULTS:
Implementing the new model would cost 3,6€ M. for a hypothetical cohort of 100.000 patients and create a cost-saving of 24,0€ M. per year. For every euro of investment in the value-based model, there is a potential cost-saving of 6.7€ on direct healthcare costs. Cost per adherent patient in the current model is 433€ and reduces to 389€ in the value-based model.CONCLUSIONS:
Implementation cost of a value-based care model based on telemonitoring is offset by the cost savings from the reduction in direct healthcare costs. Healthcare providers should take into consideration potential cost saving solution offerings such as telemonitoring and adjust the contracting of sleep therapy accordingly.Conference/Value in Health Info
2022-11, ISPOR Europe 2022, Vienna, Austria
Value in Health, Volume 25, Issue 12S (December 2022)
Code
EE485
Topic
Economic Evaluation
Topic Subcategory
Budget Impact Analysis, Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
STA: Medical Devices