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.
M
- MAA SubmissionTermMAA Dossier, Marketing Authorisation Application
- A Marketing Authorisation Application submitted to the European Medicines Agency seeking approval to market a new drug within the EU.
- Machine Learning in HealthcareTermHealthcare Machine Learning, Clinical ML
- The application of machine learning techniques to healthcare problems, covering diagnostic support, treatment recommendation, and predictive risk modelling.
- Magnitude EstimationTermMagnitude Scaling, Direct Ratio Judgement
- A psychophysical scaling method in which respondents assign numbers to stimuli reflecting their perceived relative magnitude compared to a reference stimulus.
- Mail-Order PharmacyTermMail-Order Dispensing, Home Delivery Pharmacy
- A pharmacy service dispensing and delivering prescription medications directly to patients by mail, typically at lower cost for maintenance medications.
- Main ComparatorTerm
- Main comparator, in a PBAC submission, is the therapy prescribers would most replace with the new medicine; the economic evaluation is made against it.
- Main EffectTermMarginal Effect Term, Principal Effect
- The portion of output variance attributable to a single input parameter considered on its own, distinguished from its interaction effects with others.
- Maintenance DoseTermSustaining Dose, Regular Dose
- The regular, ongoing dose given after an initial loading dose, if used, to sustain a stable therapeutic drug concentration.
- Maintenance TherapyTermContinuation Therapy, Sustaining Treatment
- Ongoing treatment given after an initial, more intensive phase to sustain a positive response and prevent relapse or progression.
- Major Molecular ResponseTermMMR, Three-Log Reduction
- A response threshold in chronic myeloid leukaemia representing a substantial reduction in detectable disease-associated genetic material, linked to low progression risk.
- Major ResponseTermMajor Clinical Response, Marked Response
- A general term for a substantial, predefined reduction in disease burden following treatment, distinct from a minimal or partial response.
- Malmquist IndexConceptMalmquist Productivity Index, TFP Index
- A productivity measure decomposing efficiency change over time into genuine technical progress versus change relative to an evolving best-practice frontier.
- Malpractice RVUTermMP RVU, Professional Liability RVU
- A US Medicare relative value component reflecting the professional liability insurance cost attributable to providing a specific service.
- Managed Access AgreementConceptMAA, NICE Managed Access
- A managed access agreement is a time-limited NHS England deal funding a promising but uncertain medicine while data are collected for a NICE reappraisal.
- Managed Access ProgramTerm
- Managed Access Program is a PBS risk-sharing arrangement, set in a deed with the sponsor, giving access to a medicine while uncertainty is addressed.
- Managed Care ModelTermManaged Care Arrangement, Integrated Delivery Financing
- A delivery and financing approach coordinating care for a defined population using a contracted provider network and utilisation management tools.
- Managed Care OrganizationTermMCO, Managed Care Insurer
- An entity coordinating healthcare delivery for a defined population using a contracted provider network and utilisation management tools to control costs.
- Managed Entry AgreementConceptMEA, Access-with-Evidence Agreement, Managed Entry
- An arrangement governing the conditions under which a technology enters the market, often incorporating outcomes-based payment or coverage with evidence development.
- Mandate DesignTermMandate Structure, Coverage Requirement Design
- The specific structure of an insurance mandate, including its applicable population, coverage standard, exemptions, and any non-compliance penalty.
- Mantel-Haenszel MethodConceptMantel-Haenszel Test, Cochran-Mantel-Haenszel Test, CMH Test, MH Method
- The Mantel-Haenszel method pools 2x2 tables from trials or strata into one fixed-effect odds ratio, risk ratio or risk difference for HTA meta-analysis.
- Manufacturer ResponseTermManufacturer Submission Response, Company Response
- A formal reply from a manufacturer addressing questions or criticisms raised during an assessment process, typically after an evidence review.
- Manufacturer SubmissionTermCompany Submission, Sponsor Dossier
- The complete package of clinical and economic evidence a manufacturer provides in support of a coverage or reimbursement application.
- Manufacturing DevelopmentTermProcess Development, CMC Development
- The process of designing and validating a reliable, scalable, quality-controlled process for producing a drug or biologic at commercial scale.
- Mapping FunctionConceptMapping Algorithm, Crosswalk Function, Transfer-to-Utility Function
- The specific statistical relationship, typically estimated through regression, used within a mapping algorithm to convert a health status score into a predicted utility value.
- Mapping StudyConceptMapping Exercise, Mapping Analysis
- Mapping study is research that estimates and validates a model predicting health state utilities from a non-preference-based measure, for use in QALYs.
- Margin ManagementTermMargin Control, Profitability Management
- The financial strategies an organisation uses to manage the difference between revenue and expenses, ensuring adequate resources to sustain operations.
- Marginal AnalysisConceptAnalysis at the Margin, Incremental Reasoning
- Marginal analysis compares the extra cost and extra benefit of a small change in a health service, to judge whether expanding or cutting it is worthwhile.
- Marginal BenefitTermIncremental Benefit, Benefit at the Margin
- The additional benefit gained from one more unit of a good, service, or activity.
- Marginal CostConceptExtra-Unit Cost, Cost at the Margin
- Marginal cost is the change in total economic cost caused by producing one additional unit of output at a specified level of activity and over a specified time horizon.
- Marginal Cost EstimationTermMarginal Cost Calculation, Incremental Unit Costing
- The process of estimating the additional cost of producing one more unit of a good or service at the current level of output.
- Marginal Cost of HealthcareConceptHealthcare Marginal Cost, Marginal Health System Cost
- The additional cost of providing one more unit of healthcare service, such as treating one further patient.
- Marginal Cost-EffectivenessTermMarginal CE, Expansion Cost-Effectiveness
- The additional cost required to produce one more unit of health effect at the margin of an intervention's current scale, distinct from its average.
- Marginal Rate of SubstitutionConceptMRS, Substitution Rate
- The rate at which a consumer is willing to trade one good for another while keeping the same overall level of satisfaction.
- Market AccessTermPatient Access Pathway, Reimbursement Access
- The overall process by which a manufacturer secures favourable coverage, reimbursement, and clinical adoption for a new health technology.
- Market Access PlanTermReimbursement Plan, Coverage Plan
- A manufacturer's strategic document outlining how a new technology will be positioned to achieve favourable coverage and reimbursement across relevant payers.
- Market Access StrategyTermMA Strategy, Access Strategy
- A manufacturer's overall plan for achieving favourable coverage, reimbursement, and clinical adoption for a new treatment, integrating pricing and evidence generation.
- Market EquilibriumConceptSupply-Demand Equilibrium, Clearing Equilibrium, Market Clearing
- Market equilibrium is a price-and-quantity outcome at which planned demand equals planned supply for a specified good or service under the conditions of a stated market model.
- Market ExclusivityTermMarketing Exclusivity
- A period during which regulators will not approve a competing generic or biosimilar, arising from patent protection, regulatory provisions, or both.
- Market FailureConceptMarket Inefficiency, Allocation Failure, Market Imperfection
- Market failure occurs when markets do not allocate resources efficiently, as in health care through externalities, unequal information or insurance gaps.
- Market ModelTermPrice-Formation Model, Supply-Demand Market Representation
- A model representing how a technology's uptake, pricing, and competitive dynamics are expected to evolve within a specific market over time.
- Market StructureTermMarket Organisation, Competitive Structure
- The organisational characteristics of a market, including the number of buyers and sellers and barriers to entry, that determine its degree of competition.
- Marketing AuthorizationTermMarketing Authorisation, Product Licence
- The formal regulatory approval required before a pharmaceutical product can be legally marketed within a given jurisdiction, based on safety and efficacy review.
- Markov AssumptionConceptMarkov Property, Memoryless Assumption
- The Markov assumption is that the next transition in a state-transition model depends only on the current state and model time, not on earlier history.
- Markov ChainConceptMarkov Process, Discrete Markov Process
- A Markov chain is a random process moving between states in which the next state depends only on the current state. It underlies Markov cohort models.
- Markov Chain Monte CarloConceptMCMC, Posterior Sampling
- Markov chain Monte Carlo is a class of simulation methods that constructs a Markov chain with a chosen target distribution as its stationary distribution and uses dependent draws from the chain to approximate expectations and uncertainty under that distribution.
- Markov Cohort ModelConceptCohort Markov Model, Aggregate Markov Model
- A Markov model tracking a hypothetical cohort collectively as proportions across health states over cycles, rather than simulating each patient separately.
- Markov MicrosimulationConceptIndividual-Level Markov Model, First-Order Markov Simulation
- Markov microsimulation is an individual-level state-transition modeling method that simulates each person's sequence of health states over time using transition probabilities that may depend on current state, personal characteristics, time, and explicitly retained history.
- Markov ModelConceptMarkov State Model, Multi-State Markov Framework
- A Markov model is a memoryless state-transition model used in economic evaluation: people move between health states each cycle, accruing costs and QALYs.
- Martingale ResidualConceptCounting-Process Residual, Survival Model Residual
- A residual used to diagnose the fit of a Cox model, checking the functional form of continuous covariates and identifying influential observations.
