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AO Groupand Services
Health · Health system commissioner

Connecting clinical outcomes to commissioning value

Dual

CEA and budget impact

Pathway-level

Modelling granularity

Stated

Uncertainty reporting

The challenge

A commissioner was considering a service redesign and needed to understand both its cost-effectiveness relative to current provision and its affordability within a fixed budget.

Our approach
  1. 01Synthesised clinical and cost evidence relevant to the proposed pathway.
  2. 02Built a cost-effectiveness model connecting clinical outcomes to economic value.
  3. 03Produced a separate budget impact analysis addressing affordability within the funding envelope.
  4. 04Stated the limitations of the underlying evidence plainly to support honest interpretation.
The outcome

The commissioner gained a defensible basis for a difficult resource decision, with a clear distinction between cost-effectiveness and affordability and a transparent account of the evidence behind each.

Capabilities applied

Health EconomicsQuantitative ResearchEconomic Consulting
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