Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
S
- SMCScottish Medicines Consortium, Scotland HTA
- The Scottish Medicines Consortium, advising Scotland's NHS boards on the clinical and cost-effectiveness of newly licensed medicines for local formulary decisions.
- Social CareSocial Services Support, Personal Care Support
- In health economics, personal and practical support for people with needs arising from age, disability or illness, distinct from and often costed alongside medical care.
- Social Discount RateSocial Time Preference Rate, Societal Discount Rate
- The rate at which government or society as a whole is considered to discount future costs and benefits, used in public sector evaluation.
- Social Value CriterionSocietal Value Criterion, Social Priority Criterion
- A standard reflecting society's broader values and priorities, such as fairness, used to inform a decision beyond pure cost-effectiveness.
- Societal PerspectiveSocial Perspective, Whole-Society Viewpoint
- An analytic viewpoint including all costs and outcomes regardless of who bears them, including productivity losses and informal carer time.
- Socioeconomic AdjustmentSocioeconomic Risk Adjustment, Deprivation Adjustment
- A modification to a risk adjustment or payment formula accounting for added costs of caring for socioeconomically disadvantaged populations.
- Southeast QuadrantSE Quadrant, Dominant Quadrant
- The region of the cost-effectiveness plane where a new intervention is both less costly and more effective than its comparator.
- Specialty TierSpecialty Formulary Tier, Biologics Tier
- A formulary category for high-cost specialty medications, typically biologics, usually carrying the highest patient cost-sharing of any tier.
- Specialty Tier PlacementTier Assignment, Specialty Tier Decision
- The decision to assign a medication to a formulary's specialty tier, typically based on cost or complex handling, raising patient cost-sharing.
- State RewardState Value, State Payoff
- A cost, utility, health outcome, or other consequence accrued while a modelled person occupies a specified state for a defined amount of time.
- Static ModelStatic Modelling, Time-Invariant Model
- A model representing costs and outcomes at a single point in time, or that ignores how one individual's risk depends on others.
- Step TherapyStep Therapy Requirement, Fail-First
- A utilisation management policy requiring a patient to try and fail lower-cost treatment options before a payer covers a pricier alternative.
- Step-Up TherapyEscalation Therapy, Dose Increase Strategy
- A treatment strategy beginning with a lower-intensity or lower-cost option and escalating only if adequate disease control is not achieved.
- Stewardship EconomicsAMS Economics, Antibiotic Optimisation Economics
- The application of health economic evaluation to programmes optimising antimicrobial use, preserving effectiveness while reducing unnecessary costs and adverse effects.
- Stop-Loss InsuranceExcess Loss Insurance, Loss-Cap Cover
- A reinsurance type purchased by self-insured employers to protect against unexpectedly high claims costs, from a single case or aggregate total.
- Stop-Loss ProvisionLoss-Limit Clause, Excess-Loss Provision
- A contractual clause within a risk-sharing arrangement limiting a provider's maximum financial exposure to unexpectedly high claims costs.
- Stratified AnalysisStratum-Specific Analysis, Stratified Estimation
- An economic evaluation reporting cost-effectiveness results separately for distinct population subgroups, such as by disease severity or age, rather than one pooled result.
- Strict DominanceSimple Dominance, Absolute Dominance
- A situation where one intervention is unambiguously better than another because it is both less costly and more effective.
- Stroke Rehabilitation EconomicsEconomics of Stroke Rehabilitation, Post-Stroke Rehab Economics
- The application of health economic evaluation to stroke rehabilitation services, assessing how therapy intensity affects both direct costs and long-term disability costs.
- Subgroup StructureSubgroup Specification, Population Structuring
- The way a decision-analytic model represents distinct patient subgroups, such as by severity or biomarker status, that may see different costs or outcomes.
- Summary of BenefitsSBC, Coverage Summary Document
- A standardised document presenting a plan's key coverage terms, costs, and benefits in a concise, comparable format for consumers.
- Supplementary BenefitsSupplementary Cover, Add-On Benefits
- Additional healthcare services covered beyond a health system's core essential benefits package, often through supplementary insurance or extra cost.
- Supply Chain Management HealthHealthcare Supply Chain Management, Health Logistics
- The processes involved in sourcing, procuring, and distributing medical supplies and pharmaceuticals, ensuring reliable availability while managing costs.
- Supply-Side ControlSupply-Side Measure, Provider-Side Control
- Cost containment strategies targeting provider behaviour directly, such as utilisation review, unlike demand-side controls targeting patient incentives.
- System EquityCross-System Fairness, Fair Distribution
- The degree to which a health system distributes its benefits, costs, and access fairly, regardless of income or geography.
- System PerspectivePayer-System Viewpoint, Third-Party Payer View
- An analytic viewpoint considering costs and outcomes across an entire health system rather than a single institution, programme, or payer.
T
- Tax CreditTax Rebate, Fiscal Credit
- A reduction in tax owed, provided by government to encourage a behaviour or offset a cost, such as buying health insurance.
- Teaching AdjustmentTeaching Payment Adjustment, Medical Education Adjustment
- An additional payment to teaching hospitals under prospective payment systems, offsetting higher costs typically associated with medical education activities.
- Technology PerspectiveTechnology Viewpoint, Device-Focused Perspective
- An analytic viewpoint defined by the specific health technology being assessed, including all costs and outcomes attributable to it across its uses.
- Technology ReplacementTechnology Substitution, Device Replacement
- The process by which a newer technology supersedes an older, established alternative, motivated by improved effectiveness, safety, or cost-efficiency.
- Terminal NodeLeaf Node, End Node
- The endpoint of a branch within a decision tree, where no further events are attached and final cost and outcome values are recorded.
- Therapeutic Reference PricingTherapeutic Class Reference Pricing, Class-Based Reference Pricing
- A policy grouping drugs believed to produce similar therapeutic effects and setting one reference reimbursement level, encouraging use of the most cost-effective option.
- Third Party PerspectiveReimburser Viewpoint, Third-Payer Viewpoint
- An analytic viewpoint including only costs and outcomes relevant to a third-party payer, such as an insurer, excluding costs borne directly by patients.
- Third-Party PayerThird-Party Reimburser, Insurer-Payer
- An entity, other than the patient or provider, that finances healthcare costs on behalf of a covered individual, such as an insurer.
- Threshold CriterionThreshold Rule, Threshold Cut-Off
- The specific cost-effectiveness benchmark an assessment body uses to judge whether a technology's ICER represents acceptable value for money.
- Threshold PriceBreak-Even Price, Maximum Justifiable Price
- The price at which a technology's ICER exactly equals a decision-maker's cost-effectiveness threshold, the maximum price still considered an acceptable use of resources.
- Thrombectomy EconomicsEconomics of Thrombectomy, Clot-Retrieval Economics
- The application of health economic evaluation to mechanical clot removal, most notably in emergency stroke treatment, generally found highly cost-effective.
- Tiered NetworkTiered Provider Network, Layered Network
- A plan design categorising in-network providers into tiers by cost or quality, with lower cost-sharing for preferred-tier providers.
- Time DependencyTime-Dependence, Temporal Dependence
- The property of a risk, effect, cost, utility or other model input changing according to a specified time scale, such as attained age or time since an event.
- Time HorizonAnalytic Horizon, Evaluation Period
- The span of time over which an economic evaluation captures relevant differences in costs and outcomes among the options being compared.
- Time Horizon ChoiceHorizon Choice, Analytic Horizon Decision
- The methodological decision on how long a model should simulate costs and outcomes, informed by disease natural history and treatment effect duration.
- Time Horizon Selection HTAHTA Time Horizon, Lifetime Horizon Selection
- The methodological decision on how long a cost-effectiveness analysis should simulate costs and outcomes, often requiring a full lifetime horizon for chronic conditions.
- Time PreferenceTemporal Discounting, Impatience Parameter
- The valuation of otherwise comparable outcomes according to when they occur, often contributing to the rationale for discounting future costs and health effects in economic evaluation.
- TLVDental and Pharmaceutical Benefits Agency, Swedish Benefits Agency
- The Swedish Dental and Pharmaceutical Benefits Agency, determining which pharmaceuticals and dental services are subsidised based on cost-effectiveness assessment.
- Toll GoodsExcludable Non-Rival Goods, Toll Good
- Goods that are excludable but non-rivalrous within capacity, allowing a charge for access while extra users add little cost until congestion is reached.
- Trade-offTradeoff, Competing-Objective Balance
- A situation in which achieving more of one objective requires accepting less of another, such as extra health benefit only at extra cost.
- Trade-Off AnalysisTradeoff Analysis, Trade-Off Assessment
- A systematic examination of how competing objectives, such as cost and health benefit, are balanced against one another in a given decision.
- Transition RewardTransition Payoff, One-Off Transition Value
- A cost or outcome value applied at the moment a patient moves between two health states, unlike a state reward accrued over time.
- Transplant Economics
- The application of health economic evaluation to organ and tissue transplantation, weighing donor, surgical, and lifelong immunosuppression costs against survival and quality of life gains.
- Treatment Capping
- A contractual limit on the maximum amount a payer will reimburse for an individual patient's treatment, whether by cycles, dose, or total cost.