Table 2.

Twenty Year Time Horizon Intervention Incremental Cost-Effectiveness

	Total Costs (discounted USD)	Incremental Cost	Total Discounted QALYs	Incremental Effect (QALYs)	$/QALY versus no intervention	ICER ($/QALY)
1 Yr. Implementation
Program Perspective
No Intervention	0	-	104,051,017	-	-	-
VBS	51,693,795	$51,693,795	104,053,224	2,206	$23,431	$23,431
RDS-A	74,556,402	$74,556,402	104,068,209	17,191	$4,337	$1,526
RDS-C	91,019,837	$91,019,837	104,055,306	4,288	$21,225	Dominated
Societal Perspective
No Intervention	44,670,703,504	-	104,051,017	-	-	-
RDS-A	44,684,670,725	$13,967,220	104,068,209	17,191	$812	$812
VBS	44,715,626,205	$44,922,701	104,053,224	2,206	$20,362	Dominated
RDS-C	44,748,362,898	$77,659,394	104,055,306	4,288	$18,110	Dominated
Long-term Implementation
Program Perspective
No Intervention	0	-	104,051,017	-	-	-
VBS	135,543,430	$135,543,430	104,053,700	2,683	$50,523	$50,523
RDS-A	195,522,868	$195,522,868	104,066,308	15,291	$12,787	$4,757
RDS-C	238,661,689	$238,661,689	104,056,057	5,040	$47,356	Dominated
Societal Perspective
No Intervention	44,670,703,504	-	104,051,017	-	-	-
RDS-A	44,610,518,121	-$60,185,383	104,066,308	15,291	-$3,936	Cost-saving
VBS	44,764,998,002	$94,294,498	104,053,700	2,683	$35,148	Dominated
RDS-C	44,830,830,915	$160,127,410	104,056,057	5,040	$31,773	Dominated