Severity in value assessment: from principle to practice
There is a wealth of evidence showing societal support to prioritise interventions for severe illnesses and a number of robust methods enabling to reflect this in Health Technology Assessment (HTA) decision-making. However, little practice has been observed in applying greater (and explicit) value to improving health of the sicker patients of this in value assessments. For example, only recently, has NICE formally introduced a severity modifier in its appraisal process.
This means that there are still treatments for life-threatening or long-lasting and debilitating conditions, which are not funded because they do not meet traditional value assessment paradigms.
Are HTA practices aligned with society preferences? Have efforts observed, to date, gone far enough to ensure access to treatments most valued by patients and society?
A number of HTA agencies have introduced explicit weights to capture severity. However, there are a methodological and practical challenges that need close attention, and a candid debate among key stakeholders involved in decision-making is needed.
Join us for the first OHE Masterclass of 2022 where OHE’s thought leaders and an international expert will discuss theory, practice and current policy debate around severity, including:
- The most established methods to measure and incorporate severity in HTA, their limitations demonstrated with relevant treatment case studies, and their future prospects;
- Insights and learnings from a real-world HTA system including severity weights;
- New approaches to integrate the severity premium.
Welcome and introduction
Severity in HTA – Measuring and integrating it in decision making
• To understand different approaches to conceptualise and measure severity.
• To highlight the different ways in which severity can be considered within HTA, with examples from across the world.
Dr. David Mott
Considering severity in practice – The experience in The Netherlands
• To understand how severity is operationalised in the Netherlands, and why.
• To understand how severity weights are incorporated into the decision-making framework in the Netherlands.
• To understand the implications of severity weighting for different age groups, and how decision makers deal with this.
Dr. Vivian Reckers-Droog
What next? The future of ‘severity-weighting’
• To understand the GRACE framework for incorporating “diminishing returns to health” in value assessment.
• To understand implications of ‘severity-weighting' on the acceptable willingness-to-pay for health gains in more and less severe conditions.
Introducing the panel
Summary and conclusion