Health Technology Assessment as a Lever for Performance Management and Strategic Control in Healthcare System

This study investigates the extent to which Health Technology Assessment (HTA) might have influenced health system performance in terms of healthcare cost performance, employment in health and social care, and mortality outcomes. By comprehensive descriptive and causal analyses combining Difference-in-Differences (DiD) with an Ordinary Least Squares (OLS) regression model. The research examines short-term as well as long-term effects of HTA implementation. The findings suggest that HTA uptake is linked to meaningful, sustained mortality reductions for myocardial infarction and ischemic stroke over the long term and short term, suggesting improvements in clinical quality and population health. While short-term effects on cost performance and employment are limited, the long-term analysis suggests that HTA contributes to reducing costs and resource optimization as technologies mature within health systems