Reference no: EM132657498
You are a health economics and outcomes researcher at a large insurance plan in the United States (US). Your supervisor is concerned about the growing number of total hip arthroplasty (THA) procedures being performed. The newer devices have demonstrably better survivorship and combined with implants in a younger population, economic concerns have arisen regarding the newer devices. Your supervisor has asked you to develop a 10-yr cost analysis including all anticipated replacements and revisions over the time-frame.
You have assembled the following information from your plan data and literature review:
Item Value
cohort growth rate 5.00%
hypothetical cohort 24,000
high annual failure rate 1.00%
low annual failure rate 0.25%
hospital payment hip replacement $10,000
physician payment hip replacement $1,400
hospital payment revision $13,000
physician payment revision $1,900
DVT rate with revision 10.00%
infection rate with revision 5.00%
additional costs of complications DVT $10,000
additional costs of complications infection $45,000
discount rate 3.00%
initial discount factor 1
Question 1: Prepare presentation for your supervisor on the cost impact of THA. The presentation shall, at a minimum, contain:
- All calculations,
- Scenario analysis based on high and low discount rate, 0% to 10%
- Results to be expressed in present value. Be sure to include annual and total costs broken down by initial hip replacement, and revision surgery
Question 2: Discuss the steps in your analysis, why you took those steps, and recommendations
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