Oregon Medicaid Model

Step 5: Estimate Cost-Effectiveness

You will now have the opportunity to estimate and compare the cost-effectiveness of the selected interventions, compared to usual care, for different outcomes and time horizons.

Select your preferred time horizon: 1 year 5 years Lifetime

Select your outcome of interest: Cost per additional person-year up-to-date on CRC screening Cost per life-year gained Cost per death averted

Select your discount factor: No discounting 3% 6% 10%

This figure presents the incremental cost-effectiveness ratio (ICER) for each intervention compared to usual care, and tells us the additional amount of money that must be spent in order to gain one additional person-year up-to-date with CRC screening recommendations. The interventions on or below the line are those that are cost-effective to implement (dominant interventions). These interventions may be more or less desirable based on a stakeholder's willingness to pay for each additional person-year up-to-date with CRC screening recommendations.