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.
In 2017, the uptake is assumed to be 20%; in 2021, it is assumed to be 100%.
Net budget impact = budget impact for a CBT strategy − budget impact for usual care.