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. 2017 Nov 13;17(15):1–167.

Table 27:

Results of Budget Impact Analysis: CBT Strategies Versus Usual Care for Moderate to Severe Major Depressive Disorder

Total Budget Impact, $
Strategy 2017a 2018 2019 2020 2021a
Group CBT by nonphysicians 32,951,097 97,987,988 195,844,408 327,382,099 493,522,667
Usual care 29,119,218 88,583,852 179,595,194 303,269,453 461,231,561
Net Budget Impact,b $ 3,831,879 9,404,136 16,249,214 24,112,646 32,291,106
Group CBT by physicians 35,793,820 106,377,266 212,468,311 354,865,948 534,423,245
Usual care 29,119,218 88,583,852 179,595,194 303,269,453 461,231,561
Net Budget Impact, $ 6,674,602 17,793,414 32,873,117 51,596,495 73,191,684
Individual CBT by nonphysicians 38,178,830 114,084,086 228,342,388 381,638,126 574,451,555
Usual care 29,119,218 88,583,852 179,595,194 303,269,453 461,231,561
Net Budget Impact, $ 9,059,611 25,500,234 48,747,194 78,368,673 113,219,994
Individual CBT by physicians 42,209,146 126,363,500 253,114,396 423,079,255 636,627,791
Usual care 29,119,218 88,583,852 179,595,194 303,269,453 461,231,561
Net Budget Impact, $ 13,089,928 37,779,648 73,519,202 119,809,802 175,396,231

Abbreviation: CBT, cognitive behavioural therapy.

a

In 2017, the uptake is assumed to be 20%; in 2021, it is assumed to be 100%.

b

Net budget impact = budget impact for a CBT strategy − budget impact for usual care.