Number of Disaggregated unit cost units of resource Setting in Proportion per which Provider of of patients relevant Other Private resource Safety Total resource receiving time MBS govt health Patient is nets* cost resource horizon budget insurer provided per patient receiving resource Resources provided to deliver proposed intervention Specialist Specialist Outpatient consultations physician Genetic Genetic Outpatient counselling counsellor Blood sample Technician Outpatient (and Patient Episode Initiation fee) Sample Transfer Fee (P11) Perform TTR Specialist genetic test pathologist Analysis and Specialist reporting of result pathologist If TTR positive, patient is eligible for treatment with tafamidis Specialist Specialist Outpatient consultation physician Cost of tafamidis Resources provided in association with the proposed intervention – TTR genetic testing and treatment with tafamidis Specialist Specialist Outpatient consultation physician Tissue biopsy Specialist Outpatient (and Patient pathologist Episode Initiation fee) Resources provided to deliver the comparator – diagnosis and treatment currently funded by the MBS Specialist Specialist Outpatient consultation physician Tissue biopsy Specialist Outpatient pathologist (and Patient Episode Initiation fee) Immunochemistry Specialist Outpatient pathologist If TTR protein identified, patient receives usual care Specialist Specialist Outpatient consultations physician Cost of usual care (a) * Include costs relating to both the standard and extended safety net. (a) Defined as symptomatic management and orthoptic liver transplant if eligible NB: Genetic counselling is not currently MBS-listed (it may be partially or fully funded by the States, however).
Provider of resource Setting in which resource is provided Proportion of patients receiving resource Number of units of resource per relevant time horizon per patient receiving resource Disaggregated unit cost MBS Safety nets* Other govt budget Private health insurer Patient Total cost Resources provided to deliver proposed intervention Specialist consultations Specialist physician Outpatient Genetic counselling Genetic counsellor Outpatient Blood sample (and Patient Episode Initiation fee) Technician Outpatient Sample Transfer Fee (P11) Perform TTR genetic test Specialist pathologist Analysis and reporting of result Specialist pathologist If TTR positive, patient is eligible for treatment with tafamidis Specialist consultation Specialist physician Outpatient Cost of tafamidis Resources provided in association with the proposed intervention – TTR genetic testing and treatment with tafamidis Specialist consultation Specialist physician Outpatient Tissue biopsy (and Patient Episode Initiation fee) Specialist pathologist Outpatient Resources provided to deliver the comparator – diagnosis and treatment currently funded by the MBS Specialist consultation Specialist physician Outpatient Tissue biopsy (and Patient Episode Initiation fee) Specialist pathologist Outpatient Immunochemistry Specialist pathologist Outpatient If TTR protein identified, patient receives usual care Specialist consultations Specialist physician Outpatient Cost of usual care (a) * Include costs relating to both the standard and extended safety net. (a) Defined as symptomatic management and orthoptic liver transplant if eligible NB: Genetic counselling is not currently MBS-listed (it may be partially or fully funded by the States, however).
1222-TTR-FAP-FinalDAP-Accessible.docx