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Algorithm for estimating the fiscal impact of new health technologies

Toolvalidated✓ Source-grounded

This method helps estimate how introducing a new health technology will affect government budgets over time. It looks at costs and savings across different sectors, especially public finances, to show the overall fiscal impact.

At a glance

Use when

When assessing new technologies with significant budget implications for public payers; during early engagement with health technology assessment bodies; for informing pricing and reimbursement decisions.

Avoid when

When only clinical or narrow healthcare cost impacts are needed; if reliable public financing or utilization data are unavailable; for technologies with minimal public sector involvement.

Inputs

Healthcare utilization data, unit costs of interventions, disease progression parameters, public funding shares, tax/revenue implications, time horizon, discount rates.

Outputs

Estimated fiscal impact over time, including annual and cumulative changes in public expenditures and revenues, breakdown by budget category, sensitivity analysis results.

How it works

The algorithm quantifies the fiscal impact of new health technologies by modeling changes in public expenditures and revenues associated with adoption. It incorporates data on healthcare utilization, unit costs, disease progression, and broader economic effects to project budgetary consequences over short- and long-term horizons. The method supports prospective and retrospective analyses within health technology assessment frameworks.

Project
IMPACT HTA
Funding
Horizon 2020
Project status
Completed 2021
HTA domains
Costs & Economic Evaluation
Technology
Non-specific
Assumptions
Stable healthcare pricing, consistent public funding shares, accurate disease progression forecasts, and no major policy changes during the projection period.
Strengths
Provides policy-relevant fiscal insights beyond clinical cost-effectiveness; allows long-term budget impact forecasting; supports cross-sectoral analysis including tax and social welfare implications.
Limitations
Relies on assumptions about future utilization and pricing; may not capture indirect economic effects fully; requires detailed data on public financing structures.
Also known as
Fiscal Impact Algorithm, Fiscal Impact Model for Health Technologies

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Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.