USE OF INCREMENTAL COST-EFFECTIVENESS RATIO (ICER) IN RECOMMENDING TECHNOLOGIES INCORPORATION IN THE BRAZILIAN PUBLIC HEALTH SYSTEM (SUS), 2012-2015

Author(s)

Yuba TY, Novaes HM, De Soárez PC
University of Sao Paulo, Sao Paulo, Brazil

OBJECTIVES: CONITEC has recommended for incorporation part of the technologies analyzed. Among the requested documents, applicants must provide a Health Economic Evaluation (HEE) under the SUS perspective, including an incremental cost-effectiveness ratio (ICER). However in the legal documents there is no explicit recommendation on the use of ICER and cost-effectiveness threshold (CET) as a criteria for technology recommendation. To analyze the CONITEC reports that recommended the incorporation of the technologies in the SUS from July 2012 to April 2015, and compare the values of the ICERs with CETs suggested in the literature. METHODS: Descriptive study, based on the reports available at the CONITEC website from July 2012 to April 2015. Reports were classified according to: type of technology, type of applicant, type of report, presence of HEE, and the type of HEE. ICER was compared with the CET recommended by WHO and Center of Health Economics (CHE)-University of York. RESULTS: Seventy-two reports recommended the incorporation of the technology in the SUS. The most common technologies recommended were drugs (51.4%), procedures (30.6%) and materials (8.3%). The major applicant was the Public Health System (70.8%), followed by the pharmaceutical industry (8.3%). Most reports were classified as Technology Description (65.3%), followed by Rapid Review (19.4%), Mini Health Technology Assessment (8.3%), and only 6.9% the reports were Full HTA. Fifty-five reports conducted HEE, 80% (n = 44) were partial and 20% (n = 11) were full. Of the Seventy-two technologies recommended for incorporation, only 8(11.1%) presented a full HEE with ICER. Seven technologies presented ICER below the CET proposed by WHO and only one below the CET proposed by CHE. CONCLUSIONS: Most of the technologies recommended for incorporation were demanded by the Public Health System and were based on Technology Descriptions and Rapid Reviews. Use of a CET was not an essential criterion for recommending technology incorporation.

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

PHP50

Topic

Health Policy & Regulatory, Health Technology Assessment

Topic Subcategory

Decision & Deliberative Processes, Pricing Policy & Schemes

Disease

Multiple Diseases

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