Universal HealthcareBy NextBestFit

Create the national formulary & negotiate drug prices

Months 0–18 for the initial formulary; continuous negotiation · National Formulary and Pricing Board; HTA InstituteDiscuss this step
← All costs for this step

Formulary & technology-assessment start-up

Staff, evidence contracts, and reference-price data before these bodies are absorbed into the administrative budget.

Result
$1.5B
Per resident, per year
$4
÷ 341.1M people
Per household
$11
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
Start-up staff
400 × $150,000 × 4 years$0.2B
2
Contracted drug assessments
500 × $1,500,000$0.8B
3
International reference-price data & IT
$0.51B$0.5B
4
Total one-time cost
$1.5B

By year

Year 0Year 1Year 2Year 3Year 4Year 5Year 6
$0.5B$0.4B$0.3B$0.2B$0.1B$0.0B$0.0B

Inputs used

InputKindValue
Formulary Board & HTA start-up staffestimate, medium confidence400
Loaded annual cost per staff memberestimate, medium confidence$150,000
Start-up years before absorption into admin budgetpolicy, high confidence4
Drug assessments contracted during start-uppolicy, high confidence500
Cost per contracted assessmentestimate, medium confidence$1,500,000
International reference-price data & ITestimate, medium confidence$0.5B
Trade-off: Front-loaded to have prices ready for Year 1.