Budget impact analysis for adjusting the price of carotid endarterectomy over the next five years
10.3969/j.issn.1672-8467.2024.02.013
- VernacularTitle:颈动脉内膜剥脱术价格调整的5年预算影响分析
- Author:
Zhe-Yi FANG
1
;
Jin-Yu LIU
;
Jia-Yan HUANG
Author Information
1. 复旦大学公共卫生学院医院管理学教研室 上海 200032;国家卫生健康委卫生技术评估重点实验室(复旦大学)上海 200032
- Keywords:
carotid endarterectomy(CEA);
carotid artery stenosis;
budget impact analysis
- From:
Fudan University Journal of Medical Sciences
2024;51(2):230-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the budget impact of a price increase for carotid endarterectomy(CEA)on the total expenditure of health insurance expenditure in China.Methods We set 2021 as the base year,and 2022-2026 as the study years.A budget impact analysis model was developed to calculate the expenditure of health insurance funds over the next 5 years following a 30%price increase for carotid endarterectomy.Data on the target population,treatment costs,and market share changes both nationwide and in four sample cities were used.The data was collected in May to Jul 2022.Results The price increase for carotid endarterectomy will reduce total health insurance fund expenditures nationwide by 143.176 2 million yuan over five years.Total health insurance fund expenditures in the sample cities will also decrease to varying degrees.The higher the price increase for the surgical procedure,the greater the decrease in total expenditure of the health insurance fund.The market share of the surgical procedure has the greatest impact on the total expenditure of the health insurance fund.Conclusion Increasing the price of carotid endarterectomy may lead to increase in its market share and decline in the health insurance fund expenditures in future five years.
