
Consultancy
Economic Analysis in Health
- Through mathematical modeling we are able to translate clinical effects into economic/health effects and estimate the consequences for the future.
- Modeling of dynamic systems (population, epidemics, viruses).
- Economic analysis of health interventions (Cost effectiveness, budget impact, cost consequence).
- Modeling of the health delivery process (emergency room design, delivery processes, efficiency).
- Shared risk models.
Consultancy
Economic evaluation of health technologies
Not only do we know what it is for and its importance, but we have also specialized in the study and execution of projects in economic evaluation of health technologies – ETESA.
Construction of mathematical models to represent the natural evolution of the disease.
Hospital care simulation models to optimize their operations (emergency rooms, primary care, among others).

Measurement of health-related quality of life
- Application of generic instruments (EQ5D – SF36 – HUI).
- Mapping of non-generic measuring instruments.

Costing
- Costing of benefits according to perspective (public, private, specific insurance systems, hospitals, clinics, etc.).

Value dossier
- Effectiveness.
- Security.
- Economic Evidence.

Cost-effectiveness studies
- Incremental analysis (ICER).
- Deterministic/probabilistic sensitivity analysis.
- Subgroup analysis and heterogeneity.
- Expected value of perfect information (subanalysis of parameters and groups of parameters).

Budget Impact Analysis
What do we understand by value?
“Value is relative to importance and importance is relative to each person.”
Value has multiple dimensions and is linked to the importance assigned to different elements in a given context. In the field of health there are various elements of importance or value for patients, caregivers, medical staff, providers, payers and for society as a whole. At Fractal we have carried out work to identify, measure and evaluate these elements from different perspectives, to build different value frameworks for specific health problems and also aimed at coverage decisions for public and private health systems.
Migration from per-benefit/capitated payment systems to value-based payment models.
