Budget impact analysis (BIA) provides operational financial forecasts to implement new technologies in healthcare systems. There were no previous specific recommendations to conduct such analyses in Brazil. This paper reviews BIA methods for health technologies and proposes BIA guidelines for the public and private Brazilian healthcare system. The following recommendations were made: adopt the ...

OBJECTIVE Budget impact models are useful tools for managed care organizations to make drug formulary decisions. The objective of this study was to estimate the incremental budgetary change in per-member-per-month (PMPM) medical and pharmacy costs for atopic dermatitis (AD) or eczema after the introduction of pimecrolimus cream 1%, a topical calcineurin inhibitor. METHODS Estimates of the per...

We study multi unit auctions in presence of budget constraints. This situation is very common in real world but has not received proper attention in theoretical literature. We will study the impact of budget on the different aspects of multi unit auctions. These results try to define a frame work in which multi unit auctions with budget constraints are working and problem we are facing in desig...

OBJECTIVES To contribute to current discussions about budget impact modeling, two different approaches for the impact of a new pharmaceutical product were analyzed: firstly considering the impact on annual healthcare expenditures only, and secondly additional inclusion of lost insurance premiums due to possible early retirement in patients with chronic diseases. METHODS The dynamic model calc...

This issue brief reviews the status of state budget shortfalls and their growing impact on the Medicaid program. It describes the magnitude of the shortfalls, the forces behind them, and how states have responded with spending cuts and tax increases. It also discusses how long the budget crisis is expected to continue and what budget balancing options remain for fiscal year 2003.

Utility maximization under a budget constraint is a classical problem in economics and management science. It is commonly assumed that the utility is a “nice” known analytic function, for example, continuous and concave. In many domains, such as marketing, increased availability of computational resources and data has enabled the development of sophisticated simulations to evaluate the impact o...

CSO budget work takes place in a range of dramatically different contexts, in terms of political systems, levels of economic development, and the strength and capacity of civil society. At the same time, the IBP and its partner organizations implement programs that have sufficient similarity for us to begin to assess which strategies work best in which contexts and, therefore, contribute to sys...

PURPOSE The cost-effectiveness and budget impact of introducing sacral nerve modulation (SNM) as a treatment for fecal incontinence in Italy were evaluated in a simulation model. METHODS A decision-analysis model with a Markov submodel was used to represent clinical pathways for treatment of patients with fecal incontinence in a scenario with SNM and a scenario without SNM. Data were obtained...

BACKGROUND Hip fractures require operation within 36-48 h, and they are most common in the elderly. A high International Normalized Ratio should be corrected before surgery. In the current study, we analyzed the budget impact of various warfarin reversal approaches. METHODS Four reversal strategies were chosen for the budget impact analysis: the temporary withholding of warfarin, administrati...

This paper aims to investigate the effect of budget deficit shock on government spending in Indonesia. For this propose, this reasearch uses an alternative error correction model based on loss function of government spending. The model assumes the short run disequilibrium, in which shock variables may play an important role. A spesific loss function model is applied to develop the long run gove...