Table 13:
Cost and Uptake Parameters Used in Scenario Analyses
| Scenario | Reference Case | Sensitivity Analysis |
|---|---|---|
| Cost | ||
| Scenario 1: low cost of a mechanical SCKAFO | ||
| 100% coverage 75% coverage |
$10,784.49a $8,088.37b |
$7,384.58a $5,538.44b |
| Scenario 2: low cost of an electronic SCKAFO | ||
| 100% coverage 75% coverage |
$10,784.49a $8,088.37b |
$20,922.24a $15,691.68b |
| Scenario 3: high cost of an electronic SCKAFO | ||
| 100% coverage 75% coverage |
$10,784.49a $8,088.37b |
$25,728.82a $19,296.62b |
| Scenario 4: low cost of a microprocessor SCKAFO | ||
| 100% coverage 75% coverage |
$10,784.49a $8,088.37b |
$83,853.16a $62,889.87b |
| Scenario 5: high cost of a microprocessor SCKAFO | ||
| 100% coverage 75% coverage |
$10,784.49a $8,088.37b |
$99,296.90a $74,472.68b |
| Uptake | ||
| Scenario 6: slow uptake of SCKAFO | 30% to 50% over 5 y | 30% in y 1, with a 3% annual increase over 5 y (reaching 42% in year 5) |
| Scenario 7: high uptake of SCKAFO | 30% to 50% over 5 y | 50% in y 1, with a 3% annual increase over 5 y (reaching 62% in year 5) |
| Additional Scenarios | ||
| Scenario 8: cost of an LKAFO using ADP submitted prices 100% Coverage 75% Coverage Scenario 9: 100% coverage for LKAFO and SCKAFO |
$6,151.00a $4,613.25a SCKAFO:$8,088.37 Coverage: 36% LKAFO: $4,613.25 Coverage: 64% |
$5,529.80c $4,147.35d SCKAFO: $10,784.49 Coverage: 100% LKAFO: $6,151.00 Coverage: 100% |
Abbreviations: ADP, assistive devices program; LKAFO, locked knee–ankle–foot orthosis; SCKAFO, stance-control knee–ankle–foot orthosis.
Note: scenarios 1–8 assume 36% of people received 100% ADP coverage and 64% of people received 75% ADP coverage.
a
OAPO Committee, Certified Orthotists, personal communication, 2020; Assistive Devices Product Manual.
b
Manual calculation of 75% of full price.
c
Manual calculation based on total ADP payments (Assistive Devices Program, personal communication, October 2020). See Appendix 6 for calculations.
d
75% of $5,529.80 full cost.