TABLE 1.
Incidence of value to different stakeholders (million US$)
| Overall value | Patients | Caregivers | Payers | Rest of society | |||
|---|---|---|---|---|---|---|---|
| Medicare | Medicaid & other public insurance | Private insurance | |||||
| Valuation of QALY gains (patients) | $621 | $621 | |||||
| Severity adjustment of patient QALY gain | $113 | $113 | |||||
| Valuation of QALY gains (caregivers) | $16 | $16 | |||||
| Attributable medical cost (patient) | –$25 | –$5 | –$13 | –$3 | –$4 | ||
| Attributable medical cost (caregiver) | –$19 | –$2 | –$4 | –$5 | –$8 | ||
| Attributable social care cost (community) | –$3 | –$1 | –$1 | –$1 | –$0.2 | ||
| Attributable social care cost (nursing home) | $199 | $52 | $24 | $123 | |||
| Patient labor earnings | $36 | $36 | |||||
| Avoided cost of public assistance programs | $0.1 | $0.1 | |||||
| Valuation of avoided caregiver time loss | $33 | $33 | |||||
| Financial insurance value to patient | $15 | $15 | |||||
| Overall | $986 | $830 (84%) | $47 (5%) | $6 (1%) | $114 (12%) | –$12 (–1%) | $0.1 (0.01%) |
Abbreviation: QALY, quality‐adjusted life‐years.