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Making Cost Effectiveness Analysis of Health Policy Choices Mandatory: Ramesh Bhat

Guest Author: Ramesh Bhat, Expert: Healthcare Finance, New Delhi

An alumnus of Harvard T.H. Chan School of Public Health and the University of Delhi. Researched and taught corporate finance and health finance for 37 years at IIM Ahmedabad, University of North Carolina at Chapel-Hill, IIM Udaipur, IMI New Delhi, NMIMS Mumbai, Institute of Chartered Accounts of India and Shri Ram College of Commerce.

The application of Cost Effectiveness Analysis (CEA) methodology helps in making appropriate choices in health. At present, CEA has a marginal role in health policy making in India. Many health care interventions have been introduced in the country without doing appropriate and contextual CEA. Introduction of various interventions, drugs, and procedures have used CEA methodology in a very limited manner. We have not paid attention to developing adequate capacities in this area and as a result, capacity in this domain remains scarce. Indian health policies have not made it a point to include CEA as a necessary requirement of introducing new technologies and interventions. Over the years India has compromised introduction of new and expensive technologies without doing contextual CEA, and as a result, we have adopted practices which are responsible for passing on an increasing proportion …

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