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The most common expression of this form of ICER is as cost (£) per incremental gain in the quality adjusted life years (£ per QALY). Incremental Benefit-Cost Ratio If more than one alternative is considered for a single project, an incremental benefit-cost ratio can be used to determine which Alternative(s) are the most economically desirable (optimize additional benefits gained for the added cost). C 3.36 1.32 0.76 0.33 15 A, B, C, and D are above the 45-degree line; their B/C ratio is > 1. Example : A current process costs \$50,000/yr. Examples of ICERs for some cancer drugs are shown in Table 5.2. N = 5 i = 10% Incremental cost is the amount of money it would cost a company to make an additional unit of product. This can be represented by the following formula: 3) Determine the project of choice using: A) Benefit to cost ratio B) Incremental Benefit to cost ratio P.W of Cost P.W of Benefit Project \$15,500 \$28,200 1 \$13,500 \$25,300 2 \$2,800 \$1,500 3 \$5,300 \$12,500 4 Cost–utility analysis. F is below the line: B/C ratio is < 1. This method is analogous to the Incremental Benefit-Cost Ratio Method. Incremental Benefit-Cost Ratio for Name Brand over Professional: ଺଺,଻଴଴ି଻଼,ସ଴଴ ଵ଼,ହହ଴ିଷଶ,ସ଴଴ = 0.845 The Incremental Benefit-Cost Ratio is less than 1, therefore, the Name Brand nail gun will be selected. Benefit-Cost Analysis 5 Framework of Benefit-Cost Analysis Valuation of Benefits and Costs Benefit-Cost Ratios Incremental B-C Analysis 6. Alternatives are considered in increasing order of total discounted costs until all are considered. Since the result is greater than 1, The Generic type is rejected. In this form of analysis the ICER is expressed as the ratio of the incremental costs to the incremental utility gain. Benefit-Cost Analysis 6 The Benefit-cost analysis is commonly used to evaluate public (government) projects. It is calculated by dividing discounted value of incremental benefits by discounted value of incremental costs. The page provides you the Cost benefit ratio formula to calculate the Benefit-Cost Ratio. For ACS patients, when a sustained benefit of high-dose statins beyond 5 years is assumed, the incremental cost-effectiveness ratio (ICER) for a high-dose statin strategy would remain under \$44 000 per QALY even when the net daily price difference between high- and conventional-dose statins was \$3.50 . Benefit/Cost Ratio Analysis – Graphical representation B-D A-B C - A E-A Incremental Cost \$1000 \$2000 \$2000 \$5000 Incremental Benefit \$3360 \$2630 \$1400 \$1670 Incr.B/Incr. 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