Updating Cost-Effectiveness — The Curious Resilience of the $50,000-per-QALY Threshold

Neumann, Peter J.; Cohen, Joshua T.; Weinstein, Milton C.

doi:10.1056/nejmp1405158

articleNew England Journal of MedicineAug 27, 2014Closed access

Updating Cost-Effectiveness — The Curious Resilience of the $50,000-per-QALY Threshold

PJPeter J. Neumann JTJoshua T. Cohen MCMilton C. Weinstein

Tufts Medical Center

PubMed

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Abstract

The ratio of $50,000 per quality-adjusted life-year (QALY) gained by using a given health care intervention has long served as a benchmark for the value of U.S. health care. But evidence suggests that it is too low and might best be thought of as an implied lower boundary.

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Keywords

Medicine
Quality-adjusted life year
Value (mathematics)
Confidence interval
Cost effectiveness
Benchmark (surveying)
Actuarial science
Statistics

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