Given
|
Treatment
|
No insurance Cost
|
Survival rate
|
|
E
|
$5,000
|
65%
|
|
F
|
$5,800
|
72%
|
|
G
|
$6,800
|
74%
|
|
H
|
$7,800
|
95%
|
|
I
|
$8,800
|
99%
|
|
J
|
$9,900
|
96%
|
|
no intervention
|
12%%
|
1. Is there an OBVIOUSLY DOMINATED treatment? Identify it if it exists. Which treatment(s) DOMINATE it? Solve for the ACER (exclude the obviously dominated treatment if it exists from all computations).
2. How do we interpret the meaning of the ACER values?
3. Solve for all ICER combinations.
4. Give the path for treatments starting at
a. E
b. F
c. G
5. Is there a marginally dominated treatment? Identify if it exists.
6. Draw the Cost effectiveness Frontier.
7. If a marginally dominated treatment exists, draw a dotted line connecting the treatment points above it.
8. Now assume an insurance policy with coinsurance of 45%
a. Compute the new costs for all treatments
b. Draw the new ICER in the same graph
9. Cost-Benefit:
a. Redraw these 2 CEFs in another graph.
b. Draw an indifference curve that shows that Treatment H will be chosen in the no insurance situation
c. On this same graph draw another indifference curve showing that Treatment I will be chosen with insurance
10. What concept can you attribute this change in treatment choice before and after insurance? Explain.