Frankfurt School of Finance & Management, Adickesallee 32-34, Frankfurt am Main, 60322, Germany.
BMC Health Serv Res. 2024 Mar 8;24(1):317. doi: 10.1186/s12913-024-10653-5.
Value-based pricing (VBP) determines product prices based on their perceived benefits. In healthcare, VBP prices medical technologies considering health outcomes and other relevant factors. This study applies VBP using economic evaluation to provider-patient communication, taking cognitive behavioral therapy (CBT) for adult primary care patients with depressive disorders as a case study.
A 12-week decision-tree model was developed from the German social health insurance system's perspective, comparing CBT against the standard of care. The influence of an extended time horizon on VBP was assessed using a theoretical model and long-term data spanning 46 months.
Using a willingness-to-pay threshold of €88,000 per quality-adjusted life year gained, the base-case 50-minute compensation rate for CBT was €45. Assuming long-term effects of CBT significantly affected the value-based compensation, increasing it to €226.
This study showcases the potential of applying VBP to CBT. However, significant price variability is highlighted, contingent upon assumptions regarding CBT's long-term impacts.
基于价值的定价（VBP）根据产品的感知收益来确定价格。在医疗保健领域，VBP 根据健康结果和其他相关因素来为医疗技术定价。本研究通过经济评估将 VBP 应用于医患沟通中，以认知行为疗法（CBT）治疗成年初级保健患者的抑郁障碍为例。
从德国社会健康保险制度的角度出发，开发了一个为期 12 周的决策树模型，将 CBT 与标准护理进行比较。使用理论模型和跨越 46 个月的长期数据评估了延长时间范围对 VBP 的影响。
使用每获得一个质量调整生命年的意愿支付阈值为 88000 欧元，基础案例中 CBT 的 50 分钟补偿率为 45 欧元。假设 CBT 的长期效果对基于价值的补偿有重大影响，将其提高到 226 欧元。
本研究展示了将 VBP 应用于 CBT 的潜力。然而，强调了显著的价格可变性，取决于对 CBT 的长期影响的假设。
