Lecture 2 - Measuring And Estimating Costs Flashcards

1
Q

what is “true cost” of a resource?

A

its opportunity cost

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2
Q

is the price charged to a payer always synonymous with the cost of a product or service?
explain with an example

A

NO
In a hospital, 3 costs are considered
1. what is the total cost to the hospital
2. how much is charged to the payer
3. how much is actually collected from the payer

total cost to hospital =$1000
hospital charges payer $2000
payer actually pays $1500

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3
Q

what are the 4 types of cost categorization

A
  1. Direct medical
  2. direct nonmedical
  3. indirect
  4. intangible
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4
Q

give examples of direct NONmedical costs

A

cost of travel
cost of childcare services for the children of the patient
food and lodging costs for out of town treatment

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5
Q

give the definition of direct nonmedical costs

A

costs to patients and their families that are directly associated with the treatment but are not medical in nature

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6
Q

what are indirect costs?

A

costs that result from the loss of productivity because of illness or death

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7
Q

give EXAMPLES of indirect costs

A

-loss of productivity for patient (out of work for the day)
-loss of productivity for unpaid caregiver (family, neighbor)
-loss of productivity because of premature mortality (cant work anymore)

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8
Q

what are intangible costs

A

costs of pain, suffering, anxiety, or fatigue that occur because of an illness or the treatment of the illness

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9
Q

why are intangible costs particularly difficult to measure?

A

because it’s hard to place monetary value on these types of costs

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10
Q

to determine which costs are important to measure, the ___ of the study must be determine

A

perspective

patient
provider
insurer
society

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11
Q

Conventional economic theory suggests that the most appropriate and comprehensive perspective is—

A

societal perspective

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12
Q

WHY is societal perspective considered the most appropriate in CONVENTIONAL ECONOMIC THEORY?

A

because it includes:
cost to insurance company
costs to patient
other sector costs
indirect costs

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13
Q

Conventional economic theory suggests that societal perspective is the most appropriate perspective, but is it usually used in a pharmacoeconomic study? why or why not

A

NO because it is difficult and time consuming to estimate all of these cost components.
also, researchers are usually not interested in the overall costs

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14
Q

standardization of costs is bringing….

A

PAST COSTS to the PRESENT

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15
Q

discounting is bringing…

A

FUTURE COSTS to the PRESENT

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16
Q

when does a standardization of costs NEED to be conducted?

A

when costs are estimated from info collected MORE THAN 1 YEAR BEFORE THE STUDY

17
Q

All costs should be valued at….

A

one point in time
ex: cant use costs from 2000 and 2010 in the same study

18
Q

a discount rate between ___ and ___% is generally accepted for health care interventions

A

3-6%

19
Q

what is a “sensitivity analysis”?

A

a comparison of the results is conducted using high and low estimates of the various discount rates.

allows one to determine how the results of an analysis would change when “best guess” are varied over a relative range of vlues

20
Q

discount factor=…

A

1/(1+r)^t

r=discount rate
t=#of years into future

21
Q

for discounting…..
if expense occurs at the END of the year, will year 1 or year 2 have a t value of 1?

A

year 1

22
Q

for discounting….

if expense occurs at the BEGINNING of the year, will year 1 or year 2 have a t value of 1 ?

A

year 2

23
Q

what are 2 ways in which cost information can be collected?

A

prospectively during clinical trials or….

retrospectively from medical records or reimbursement claims data

24
Q

when calculating costs, which TWO things must be considered?

A

-monetary cost
-true cost (opportunity cost)

25
Q

if expenses occur at the BEGINNING of the year, start discounting at the ___ year

A

2nd