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Table 2 Results of the budget impact analysis

From: Return-to-work intervention for cancer survivors: budget impact and allocation of costs and returns in the Netherlands and six major EU-countries

 

2015

2016

2017

2018

2019

2020

DUTCH SOCIETAL PERSPECTIVE

 Current practice:

      

  Number of patients

651

666

681

696

711

726

  Health care costs

987.901 €

1.010.858 €

1.033.815 €

1.056.772 €

1.079.729 €

1.102.686 €

  Productivity benefits

5.889.947 €

6.026.819 €

6.163.690 €

6.300.562 €

6.437.434 €

6.574.306 €

 New situation:

      

  Number of patients

2.602

3.994

5.446

6.959

8.532

10.166

  Health care costs

3.951.605 €

6.065.149 €

8.270.522 €

10.567.724 €

12.956.753 €

15.437.611 €

  Productivity benefit

23.559.787 €

36.160.912 €

49.309.524 €

63.005.623 €

77.249.210 €

92.040.284 €

  Budget impact

−14.706.137 €

−25.079.802 €

−35.909.126 €

−47.194.109 €

−58.934.752 €

−71.131.054 €

PERSPECTIVE OF A HYPOTHETICAL CANCER CENTRE

 Current practice:

      

  Number of patients

39

39

40

40

42

43

  Health care costs

58.560 €

59.828 €

61.093 €

60.999 €

63.611 €

64.864 €

  Benefits (reimbursement)

58.560 €

59.828 €

61.093 €

60.999 €

63.611 €

64.864 €

 New situation:

      

  Number of patients

231

473

724

723

754

769

  Health care costs

351.358 €

717.939 €

1.099.674 €

1.097.987 €

1.144.994 €

1.167.550 €

  Benefit (reimbursement)

58.560 €a

71.794 €

109.967 €

109.799 €

114.499 €

116.755 €

  Budget impact

292.798 €

646.145 €

989.706 €

988.188 €

1.030.495 €

1.050.795 €

  1. aAccording to the model, this would be €35,136, assuming that hospitals receive reimbursement for 10 % of the patients. As this is lower than the benefit in the current situation, it is expected that as long as in the new situation there still are patients with a multidisciplinary rehabilitation need (for whom the costs are reimbursed by insurance), these would be treated preferentially to patients for whom the costs are not reimbursed