The ISPOR Initiative on US Value Assessment Frameworks was created to inform the shift towards a value-driven healthcare system by promoting the development and dissemination of high quality, unbiased value assessment frameworks.

Healthcare systems have been moving toward more value-driven approaches that focus on evaluating therapeutic options based on health outcomes, value to the patient, and effectiveness compared with other potential treatment options. As a result, a number of value assessment frameworks have been developed in the past few years. The currently available frameworks, however, are widely diverse in their approaches. This inconsistency can lead to variable evaluations of treatments.

ISPOR recently led an initiative on US Value Assessment Frameworks collaborating with leading experts and key stakeholders in the health economics and outcomes research (HEOR) community. The initiative culminated with the creation of 7 Special Task Force Reports that were published in a themed issue of Value in Health in February 2018.

The Special Task Force Reports conclude that several areas should be considered when assessing value, including specificity about context and perspectives, consideration of incremental costs and benefits, and development of value thresholds. ISPOR continues to examine this important issue especially with respect to multiple stakeholders perspectives; most notably patients.

The Special Task Force Reports include: 

  1. A Health Economics Approach to US Value Assessment Frameworks—Introduction: An ISPOR Special Task Force Report [1]
  2. An Overview of Value, Perspective, and Decision Context—A Health Economics Approach: An ISPOR Special Task Force Report [2]
  3. Defining Elements of Value in Health Care—A Health Economics Approach: An ISPOR Special Task Force Report [3]
  4. Objectives, Budgets, Thresholds, and Opportunity Costs—A Health Economics Approach: An ISPOR Special Task Force Report [4]
  5. Approaches to Aggregation and Decision Making—A Health Economics Approach: An ISPOR Special Task Force Report [5]
  6. Review of Recent US Value Frameworks—A Health Economics Approach: An ISPOR Special Task Force Report [6]
  7. A Health Economics Approach to US Value Assessment Frameworks—Summary and Recommendations of the ISPOR Special Task Force Report [7]

Commentaries on the Special Task Force Reports include:

  1. ISPOR’s Initiative on US Value Assessment Frameworks: The Use of Cost-Effectiveness Research in Decision Making among US Insurers
  2. ISPOR’s Initiative on US Value Assessment Frameworks: A Missed Opportunity for ISPOR and Patients
  3. ISPOR’s Initiative on US Value Assessment Frameworks: Seeking a Role for Health Economics
  4. ISPOR’s Initiative on US Value Assessment Frameworks: An Industry Perspective

An editorial on the initiatives papers was also published:

  1. A Health Economics Approach to US Value Frameworks: Serving the Needs of Decision Making

 

For additional information on the initiative, please contact us.

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