Service
Health Economics and Financing
Economic evaluation, health technology assessment, budget impact analysis and health financing strategy — the evidence behind decisions on what to pay for, how much and how.
The challenge
Overview
Every health system must decide what to pay for, how much to pay and how to pay. Those choices determine who gets care, how good it is and whether the system can afford it in the long run.
OGHC provides the economic and financial analysis behind those decisions — from costing a single service to modelling the financial impact of a national benefit package — and translates it into clear, practical recommendations.
Capabilities
What we do
- Health economic evaluations
- Cost-effectiveness analysis
- Cost-benefit analysis
- Healthcare financing strategy
- Health technology assessment
- Health insurance financing models
- Universal Health Coverage advisory
- Healthcare resource allocation
- Healthcare budget impact analysis
- Health systems financing research
- Financial sustainability assessments
Clients
Who we work with
- Ministries of health and health financing agencies
- Public and private health insurers
- Development partners and donor-funded programmes
- Pharmaceutical and health-technology companies
- Hospitals and healthcare networks
- Government Ministries & Health AgenciesMinistries, regional and county governments and public health agencies advancing UHC and stronger health systems.
- Development Partners & Donor ProgrammesBilateral and multilateral partners, foundations and donor-funded programmes investing in health systems.
- Pharmaceutical & Health TechnologyPharmaceutical, medical-device and health-technology companies seeking market access and evidence of value.
- Insurance CompaniesHealth insurers and medical schemes seeking sustainable products, efficient claims and strong provider networks.
Typical deliverables
What you receive
- Costing studies and unit-cost databases
- Cost-effectiveness and cost-benefit models with sensitivity analysis
- Budget impact models (Excel-based, transparent and reusable)
- Health technology assessment reports
- Health financing strategy and options analysis
- Benefit package and provider payment recommendations
- Financial sustainability and transition plans
- Policy briefs summarising findings for decision-makers
In practice
Practical applications
Prioritising a benefit package
A health financing agency uses costing and cost-effectiveness evidence to decide which services to include.
Introducing a new technology
A manufacturer prepares budget impact evidence for purchasers and insurers.
Planning a programme transition
A donor-funded programme assesses the cost of moving to domestic financing.
Pricing an insurance product
An insurer models the financing of a new benefit before launch.
Engagement
How we work
- Discover — objectives, context and data
- Diagnose — analysis of what drives results
- Design — practical, costed recommendations
- Deliver — implementation support and capability building
- Measure — agreed indicators and continuous improvement
FAQ
Frequently asked questions
What is the difference between cost-effectiveness and budget impact analysis?
Cost-effectiveness asks whether an intervention offers good value compared with alternatives. Budget impact asks whether a specific payer can afford it and how much it will add to spending. Most funding decisions need both.
Can you work with limited local data?
Yes. We combine the local data available with published evidence and expert input, and are explicit about assumptions and uncertainty.
Do you support universal health coverage reforms?
Yes — benefit packages, purchasing, provider payment and the financial sustainability of UHC programmes.
Explore
Related services
- Health Insurance AdvisoryProduct design, claims, cost containment and provider networks — independent advice for insurers, TPAs and employers.
- Digital Health and Artificial IntelligenceDigital health strategy, AI readiness, workflow automation and innovation advisory.
- Healthcare AnalyticsData analytics, dashboards, KPI development and decision support.
- Healthcare Policy DevelopmentPolicy research, regulatory analysis, health systems strengthening and strategic health planning.
Discuss your objectives
Tell us about your organisation and what you want to achieve. An OGHC advisor will respond.