Estimating the budget impact of new technologies added to the National List of Health Services in Israel: Stakeholders’ incentives for adopting a financial risk-sharing mechanism

Hammerman, Ariel; Greenberg, Dan

doi:10.1016/j.healthpol.2008.05.006

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…It is comprised by different stakeholders such as senior officials of the Ministry of Health and the Ministry of Finance, representatives of the public and the medical professions, and the four health plans, among others. This process, described and scrutinized in detail in previous studies (6;8;16;17;22;25), is considered by some scholars to be unique and even groundbreaking (16).…”

Section: Health Technology Management In Israelmentioning

confidence: 98%

“…In Israel, every year, as part of the annual budgeting of the national healthcare system, the government allocates a predetermined budget specifically to fund new technologies. The process of updating the NLHS has been performed almost every year for more than a decade (8) with a Public National Advisory Committee (PNAC) managing its final stage. The PNAC includes twenty to twenty-five members and is appointed by the Ministers of Health and Finance.…”

Section: Health Technology Management In Israelmentioning

confidence: 99%

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Health technology management in Israel: HTA in action

Shemer

Shani

Tamir

et al. 2009

Int J Technol Assess Health Care

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Objectives:The aim of this study was to describe the history and present situation with health technology assessment (HTA) in Israel. Methods: The method used in this study was a historical analysis based mainly on the knowledge of the authors, but supplemented by the published literature. Results: HTA originated in Israel as a centralized function conducted under the auspice of research, developing into an active multidisciplinary center. Throughout the expansion of the field, HTA was performed in affiliation with several local and international bodies, while providing direct and indirect support at the national level. Today, mainly as a result of vigorous dissemination of the principles, methodology and tools for HTA by the Israeli Center for Technology Assessment in Health Care (ICTAHC), this discipline is increasingly a decentralized activity conducted by a great variety of institutions. Israeli health policy decisions are increasingly based on the results of HTA. Conclusions: ICTAHC's role and functioning has expanded since its beginnings. HTA has become an important part of health care in Israel.

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Section: Health Technology Management In Israelmentioning

confidence: 98%

Section: Health Technology Management In Israelmentioning

confidence: 99%

Health technology management in Israel: HTA in action

Shemer

Shani

Tamir

et al. 2009

Int J Technol Assess Health Care

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“…In a previous article [15], we outlined a conceptual framework for a financial risk-sharing mechanism between the Israeli health plans, the government, and the technology sponsors to hedge against uncertainty in the total budget required for the coverage of the new technologies. According to this mechanism, health plans will be partially compensated by the sponsors if the actual use of the new technology is substantially higher than what was projected.…”

Section: The Process Of Updating the National List Of Health Servicesmentioning

confidence: 99%

Financial Risk-Sharing in Updating the National List of Health Services in Israel: Stakeholders' Perceived Interests

2012

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The successful implementation of risk-sharing schemes depends mainly on their perception as a win-win situation by all stakeholders. The perception exposed by our participants that risk-sharing can be a tool for improving the accuracy of early budget-impact estimates and the challenges pointed by them are relevant to other health care systems also and should be considered when implementing similar schemes.

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“…In this study, we first outline the process of updating the National List of Health Services in Israel, and then assess this process for compliance with the four conditions of accountability for reasonableness. Although this process has been described and scrutinized in detail in previous studies (8;12;25;26;28;30), none of these have fully addressed its legitimacy and fairness.…”

mentioning

confidence: 99%