A Health Economics Approach to US Value Assessment Frameworks
This framework uses health economics principles to assess and improve how value is measured in US health technology assessment models. It helps ensure that value assessments are comprehensive, transparent, and grounded in sound economic theory.
At a glance
Use when
Evaluating or designing value assessment frameworks in the US; comparing different approaches to value assessment; ensuring alignment with health economics best practices
Avoid when
When a prescriptive value model is needed rather than a critique framework; when working outside the US healthcare context without adaptation
Inputs
Structure and outputs of existing value assessment frameworks, health economics principles, stakeholder input, clinical and economic evidence
Outputs
Evaluation of value assessment frameworks, recommendations for improvement, guidance for developing new models
How it works
Developed by the ISPOR Special Task Force, this framework provides a systematic, health economics–based approach to evaluate existing US value assessment frameworks. It emphasizes methodological rigor, consistency with economic principles, and the incorporation of key elements such as clinical benefit, cost-effectiveness, budget impact, and patient-centered outcomes. The framework can be used to critique, compare, and enhance value assessment models.
- HTA domains
- Clinical Effectiveness, Costs & Economic Evaluation, Aspects Beyond HTA
- Assumptions
- Value assessment should be grounded in health economics theory; transparency and consistency improve decision-making; multiple stakeholders should be considered in value assessment
- Strengths
- Based on established economic principles; comprehensive evaluation criteria; developed by a multidisciplinary expert group; promotes transparency and comparability across models
- Limitations
- Primarily focused on US context; may require adaptation for use in other healthcare systems; does not prescribe a single value model but rather evaluates existing ones
- Also known as
- ISPOR Value Assessment Framework, Health Economics Approach to US Value Assessment
Questions this answers
- › How well does a value assessment framework align with health economics principles?
- › What components should a robust value assessment model include?
- › How can value assessment frameworks be made more transparent and consistent?
- › How can patient-centered outcomes be better integrated into value assessments?
- › What are the strengths and limitations of current US value assessment models?
- › How can value assessment frameworks support better healthcare decision-making?
References & sources
Related methods
Similar by meaning
- IMPACT-HTA multicriteria value framework
- We need to talk about values: framework for articulating normative reasoning in HTA
- Advance Value Framework
- ICER Value Framework 2020 Update - Aggregation of Benefits and Contextual Considerations
- Key Principles for the Improved Conduct of Health Technology Assessments for Resource Allocation Decisions
Beta record. Based on the original catalogue summary; primary-source enrichment pending.

