Attempts to quantify the value of health and health care date back several decades. However, major policy changes that mandated the use of quality measure performance when calculating reimbursement have increased the need to measure, quantify, and compare the value of healthcare services and patient outcomes. A number of methods to assess the value of health care exist and are used by researchers, administrators, and policy makers. This chapter describes several of the most common, including cost-effectiveness analysis, cost–utility analysis, and return on investment. We explore the advantages and disadvantages of each and touch on techniques often used in conjunction with these methods, such as discounting and risk adjustment.
Keywords
- Value assessments
- Cost-effectiveness
- Cost utility
- Return on investment
- Discounting
- Risk adjustment
- Quality-adjusted life years (QALYs)