Table 4. . Standard DHT budget impact analysis framework and outputs.

Budget impact feature	Comments
Budget impact outputs • Incremental cost (e.g., with vs without DHT) per end user/patient adhering to DHT • Incremental cost per 1000 users reflecting adherence • Incremental cost per user per month • Scenario at threshold price to achieve different levels of cost savings • Scenario(s) within proposed outcomes-based agreement	• Incremental costs with vs without DHT shown with impact on subcategories of cost:   a. Intervention costs   b. Impact on standard of care costs   c. Costs related to changes in access to care • Outputs generated at given or estimated price
Perspective • Individual end user/patient • Third-party payer/plan sponsor	• Typical user cost subdomains:   a. user time costs   b. transportation costs   c. other expenditures due to changes in health management costs • Typical payer cost subdomains:   a. medical   b. diagnostic   c. pharmacy costs   d. relevant provider productivity costs
Time horizon • Year 1 with scenario analyses for implementation costs that may differ across practice settings • Year 2–5 if clear rationale for extended horizon	• Framework allows flexibility in time horizon to fit the DHT and its environment alongside cost impacts.

DHT: Digital health technology.