Limitations of Traditional Health Technology Assessment Methods and Implications for the Evaluation of Innovative Therapies

19 Pages Posted: 16 May 2017

See all articles by Jason N. Doctor

Jason N. Doctor

University of Southern California; University of Southern California - Schaeffer Center for Health Policy and Economics

Joanna P. MacEwan

Precision Health Economics

Date Written: May 15, 2017

Abstract

Traditional health technology assessment (HTA) draws upon a data modeling and evidence synthesis framework to arrive at conclusions about the clinical efficacy, safety, cost-effectiveness, and budget impact of treatments. HTA is used to guide policymakers in making regulatory, funding, and/or access decisions. The use of such formal approaches has many advantages. However, recent changes in drug technology and development, growth in the use of biologics, and other advances in treatment raise new issues with current HTA methods/value frameworks and their implementation. In this paper, we provide guidance for addressing these emerging challenges to strengthen assessments of innovative therapies/technologies and discuss how modifications to HTA methods can improve the concordance between policy decisions and societal preferences for the distribution of health benefits. Many of the points we bring up cannot be handled with better data, but require fundamental changes to the studies that inform HTAs.

Keywords: innovation, health technology assessment, valuation, cost effectiveness

JEL Classification: I10

Suggested Citation

Doctor, Jason N. and MacEwan, Joanna P., Limitations of Traditional Health Technology Assessment Methods and Implications for the Evaluation of Innovative Therapies (May 15, 2017). Available at SSRN: https://ssrn.com/abstract=2968644 or http://dx.doi.org/10.2139/ssrn.2968644

Jason N. Doctor

University of Southern California ( email )

2250 Alcazar Street
Los Angeles, CA 90089
United States

University of Southern California - Schaeffer Center for Health Policy and Economics ( email )

635 Downey Way
Los Angeles, CA 90089-3333
United States

Joanna P. MacEwan (Contact Author)

Precision Health Economics ( email )

11100 Santa Monica Blvd, Ste 500
Los Angeles, CA 90025

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