The HCV Cost Calculator is based off of an evidenced based model piloted at the Public Health Management Corporation Care Clinic in Philadelphia, PA. Throughout the calculator, “Standard Screening” references current risk based CDC screening guidelines including persons born 1945-1965, persons who previously or currently inject drugs, and other associated risk factors. “Universal Screening” references screening patients 18 years and older, regardless of risk factors. “Enhanced” services are those identified as promising practices in the model, including: Medical Assistant (MA) initiated opt-out universal screening, reflex testing, care coordination for prior authorizations, integrated behavioral health consultation, and onsite treatment.

NNCC’s HCV Cost Calculator is an interactive tool designed to evaluate the costs and benefits of Standard vs Enhanced HCV Care. The HCV Cost Calculator uses a numerical value-based model of health center staff training, screening, and treatment regimen to estimate the cost-benefit comparison and return on investment (ROI) to the health center.

What is the HCV prevalance in your health center?

 

How many patients does your health clinic screen?

Standard screening includes patients in the birth cohort - and other risk factors. Unviersal screening includes all patients aged 18 or older.

Standard Screening:
Risk-based, birth cohort - and associated risk factors:

Universal Screening:
Eligible patients 18 and older, if have not had test done already

What kind of insurance do your patients have?

Medicaid

 

Medicare/Private

 

Uninsured

 

Total:  

What services does your health center provide on-site?

Screening Type:

Standard screening includes patients in the birth cohort - and based on other risk factors.
Universal screening includes all patients aged 18 or older who have not yet been tested.

 
Icon of Standard Screening
Standard Screening
Icon of Universal Screening
Universal Screening

HCV Test:

Rapid Test: Fingerstick that takes 20 minutes for an Ab result but still requires a blood draw to confirm RNA positive diagnosis
Reflex HCV to RNA Test: One blood draw that if Ab positive, automatically reflex tests to confirm RNA positive diagnosis.

Icon of Rapid HCV Testing
Rapid Test
Icon of HCV to RNA Testing
Reflex HCV to RNA Test

Treatment location:

Referral to Specialist: Health center does not provide HCV treatment onsite, but protocol is to refer to outside specialist, hepatology or infectious disease.
On-site HCV Treatment: Health center protocol to treat HCV positive patients with in-house primary care or in-house specialty care.

Icon of Referral to Specialist
Referral to Specialist
Icon of Onsite Treatment
On-site HCV Treatment

Additional Services:

Behavioral Health Services: counseling with Behavioral Health Specialist about medication adherence and substance use disorder and/or mental health diagnoses
Link to Primary Care: appointment to inform patient about hepatitis diagnosis, medication adherence, potential side effects and next steps to start treatment.

Icon of Behavioral Health
Behavioral Health Services

What services would you like to add to your current HCV programming?

Care Coordination: wrap around services for the patient to support throughout care continuum, specifically follow up to schedule appointments and helping with prior authorization processes, if required.
Substance Use Disorder Counseling: counseling appointment with patient to discuss co-occurring substance use disorder and impact on treatment. See above for additional definitions.

Icon of Universal Screening
Universal Screening
Icon of HCV to RNA Testing
Reflex HCV to RNA
Icon of Onsite Treatment
On-site HCV Treatment
Icon of Behavioral Health
Behavioral Health Services
Icon of Substance Disorder
Substance Use Disorder Counseling
Icon of Link to PCP
Care Coordination

What are your state Medicaid HCV treatment restrictions?

Fibrosis Severity (F-score) Restriction

Medicaid HCV Sobriety Restriction

Medicaid HCV Prescriber Restriction % Treated

Revenue includes reimbursement rates for 340B.

If the health center does not have a 340B agreement, please contact NNCC for a more detailed version of the calculator.

Results

 

Patients Screened

 

Identified Positive

 

Increase in Universal Screening

 

Increase in Universal Identified


Screening Costs and Revenue

Based on 2017 costs and reimbursement rates

Universal Screening Cost-Benefit Ratio

Benefit-Cost Ratio: Difference in savings divided by difference in costs (Benefit-cost ratio > 1 indicates that the intervention being studied saves money (relative to the comparison intervention); Benefit-cost ratio < 1 indicates that the intervention costs more than it saves)

 

Universal Screening ROI

Return on Investment (ROI): (Savings-Costs)/Costs, measured in percentage

 %


Treatment Costs and Revenue

Enhanced Treatment Cost-Benefit Ratio

Benefit-Cost Ratio: Difference in savings divided by difference in costs (Benefit-cost ratio > 1 indicates that the intervention being studied saves money (relative to the comparison intervention); Benefit-cost ratio < 1 indicates that the intervention costs more than it saves)

 

Enhanced Treatment ROI

Return on Investment (ROI): (Savings-Costs)/Costs, measured in percentage

 %


Overall Margins

Universal Screening and Enhanced Treatment Cost-Benefit Ratio

Benefit-Cost Ratio: Difference in savings divided by difference in costs (Benefit-cost ratio > 1 indicates that the intervention being studied saves money (relative to the comparison intervention); Benefit-cost ratio < 1 indicates that the intervention costs more than it saves)

 

Universal Screening and Enhanced Treatment ROI

Return on Investment (ROI): (Savings-Costs)/Costs, measured in percentage

 %

Thank you for using NNCC's HCV Cost Calculator.
Please click below to print your results

If you need technical assistance or would like to see a more detailed cost calculator to evaluate the costs for your health center, please contact NNCC.