At the recent ISPOR meeting in Montreal, Professor Andrew Briggs proposed things that may help or hinder the move to greener HTA methods. The presentation concluded with a warning that attempts to green HTA may in fact “exacerbate the very issues we aim to resolve” and to avoid this we must approach this move with humility and not haste.
As combination therapies - especially in oncology - become more commonplace, payers and HTA bodies are struggling to price them fairly. Despite technical progress in methods to attribute value between component treatments, the key question remains: who should implement these solutions?
Health technology assessment (HTA) is built on a foundation of tried-and-tested conventions: lifetime horizons, a 'reference case' untainted by productivity, and a good old-fashioned faith in 'intention to treat' (ITT) analysis corrected by placebo control. But occasionally, a study comes along that quietly taps HTA on the shoulder and says, “What if we did things a bit differently?” We’ve just published a piece that does exactly that.
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