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Adaptive Health Technology Assessment - value and limitations to inform resource allocation in India.
Sajith Kumar S1, Vignesh Loganathan2, Tom Drake3
1Tata Memorial Hospital, India.
Health Economics, Policy, and Law
|June 1, 2026
Summary
Adaptive Health Technology Assessment (aHTA) offers a flexible approach to optimize resource allocation in India. Institutionalizing aHTA can improve decision-making speed and rigor within the healthcare system.
Area of Science:
- Health Policy
- Health Economics
- Health Technology Assessment
Background:
- Health Technology Assessment (HTA) is crucial for resource allocation in high-income nations.
- HTA adoption is increasing in Low- and Middle-Income Countries (LMICs).
- India is actively integrating HTA into its policymaking.
Purpose of the Study:
- To explore the role of Adaptive Health Technology Assessment (aHTA) in optimizing HTA capacity.
- To examine the value of aHTA for decision-makers in India.
- To discuss challenges in aHTA methodology and implementation.
Main Methods:
- Review of Indian experiences with conducting aHTA.
- Analysis of aHTA as a screening measure and flexible HTA approach.
- Exploration of institutionalizing aHTA for topic prioritization and HTA optimization.
Main Results:
- aHTA provides a pragmatic balance between swift decision-making and methodological rigor.
- Indian experiences highlight the potential value of aHTA.
- Challenges in aHTA methodology and implementation were identified.
Conclusions:
- Institutionalizing aHTA is proposed for topic prioritization and optimizing full HTA in India.
- Standardization of aHTA methodologies and development of reference cases are needed.
- aHTA requires further development for integration into the broader HTA ecosystem.
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