Measuring all the economic impacts of MS to aid resourcing

Dr Julie Campbell

Menzies Institute for Medical Research, University of Tasmania, TAS

January 2024

Specialisation: Social And Applied Research

focus area: Causes and Prevention

funding type: Fellowship

project type: Investigator Led Research

Summary

This project will build on Dr Julie Campbell’s work in MS health economics to measure the broader economic impact of MS.

Dr Campbell’s work, as part of the Health Economic Impact of MS in Australia report, estimated the cost of MS to the Australian society was $2.5 billion in 2021. As the level of disability for the person living with MS increases from no disability to severe disability, the cost per person increases by almost 300%. Additionally, the number of people being diagnosed with MS is rapidly increasing, by 30% in the past four years.

This project aims to measure the true economic cost of increased disability and support the case for increasing resources for MS. To do this, the project will include several connected phases of research that will:

  1. Measure the burden, costs, and quality of life for the informal carers and supporters of their person living with MS;
  2. Measure the costs and impact on quality of life of the MS prodrome (the early phase of signs and symptoms that can appear in the years prior to formal MS diagnosis);
  3. Closely examine how access to the National Disability Insurance Scheme (NDIS) and the value of NDIS packages for people living with MS and their families can be improved;
  4. Create two specialised free online courses (massive open online courses; MOOC) to support carers and supporters of people living with MS, and to also provide information about the NDIS to improve knowledge and confidence for people with MS and their families and supporters;
  5. Improve a health economics digital model that is being created by the Menzies MS Research Flagship in partnership with MS Australia. The findings of this project may help in advocating for increased resourcing for MS; and
  6. Include as much information about societal costs as possible in clinical trials to support positive resource allocation decisions for people with MS and their carers.

Progress

Dr Campbell and her team have provided crucial new evidence regarding the health economic impact of MS in Australia in MS Australia’s Multiple Sclerosis Prevalence and Health Economic Impact in Australia 2025 report.

Dr Campbell and her team found the total costs of MS to society exceeded $3 billion in 2024, with recent increases due to increased prevalence. The average cost per person living with MS in 2024 was A$79,581 After adjusting for inflation, this is a 7% decrease compared to 2017. This cost ranges from $42,688 for people with no disability to more than triple the cost at $135,780 for people with severe disability. The average initial NDIS plan value was $62,178, increasing to $75,504 following reassessment.

Major contributors to the cost of MS in 2024 included disease-modifying therapies (DMTs; $546 million) and employment-related productivity losses ($846 million).

Using data from the Australian MS Longitudinal Study (AMSLS), 56.0% of AMSLS participants said that they were not employed or actively seeking work. The average quality of life among people with MS was substantially lower than the Australian population average and was even lower for those with severe disability.

This new report includes the cost of informal care. Dr Campbell’s student has submitted a PhD finding that the cost of informal care is significant, at more than 15% of total costs per person living with MS on average.

The evidence from this project will inform policy and support advocates in directing resources toward activities for MS prevention, management and research. It will also be used in publicly available health economics models for MS that Dr Campbell is developing. These could be used by national and international health economists, clinicians, policy makers, and pharmaceutical companies. This platform may also be used as an example for other neurological conditions.

Dr Campbell and her team have also developed an evidence-based course, the Supporting MS Carers MOOC, which will focus on self-care for carers.

Over the next 12 months, Dr Campbell will visit the University of British Columbia (in October 2026) to start work on costing the MS prodrome. These estimates will also be included in health economics model. She will also expand her work on wage discrimination and employment outcomes, with a focus on the challenges faced by male carers.

publications

  1. Henson G J, van der Mei I, Taylor BV, Scuffham P, Chen G, & Campbell JA (2025). A systematic review of minimum important changes for generic multi-attribute utility instruments and recommendations for their estimation. European Journal Of Health Economics, 17 pages. doi:10.1007/s10198-025-01778-3
  2. Milne RJ, Schousboe C, Campbell JA, Mottershead J. Societal Versus Healthcare Perspectives on the Cost Effectiveness of Ocrelizumab for Treatment of Primary Progressive Multiple Sclerosis in Aotearoa New Zealand. PharmacoEconomics. 2025 Aug;43(8):969-85.
  3. Milne RJ, Schousboe C, Campbell JA, Mottershead J. The cost effectiveness of ocrelizumab for treatment of primary progressive multiple sclerosis in Aotearoa New Zealand, from societal and healthcare perspectives. Report to MS NZ.
  4. Campbell JA, Henson GJ, Ngwa VF, Ahmad H, Taylor BV, Van der Mei I, Palmer AJ. Estimation of transition probabilities from a large cohort (> 6000) of Australians living with Multiple sclerosis (MS) for changing disability severity classifications, MS phenotype, and disease-modifying therapy classifications. PharmacoEconomics. 2025 Feb;43(2):223-39.
  5. Henson GJ, van der Mei I, Taylor BV, Claflin SB, Palmer AJ, Chen G, Campbell JA. The Health‐Related Quality of Life Impact of the COVID‐19 Pandemic on People Living with Multiple Sclerosis and the General Population: A Comparative Study Utilizing the EQ‐5D‐5L with Psychosocial Bolt‐Ons. Brain and Behavior. 2025 Jan;15(1):e70210.
  6. Adal TG, van der Mei I, Taylor BV, de Graaff B, Palmer AJ, Chen G, Henson GJ, Roydhouse J, Campbell JA. Investigation of the health economic analysis of informal care for people living with a chronic neurological disease: a systematic review and meta-analysis of the global evidence for multiple sclerosis. Social Science & Medicine. 2024 Dec 1;363:117405.
  7. Campbell JA, Simpson-Yap S, van de Mei I, Taylor BV, Laslett L, Palmer AJ. Escalating prevalence of multiple sclerosis in Australia and the policy implications for healthcare decision makers of increased MS prevalence. Multiple Sclerosis Journal. 2024 Nov 1 (Vol. 30, No. 4, pp. 11-12).
  8. Zhao T, Taylor B, Campbell J, Palmer AJ. The disease modifying therapy utilisation and costs trends for multiple sclerosis in Australia from 2013 to 2022. Multiple Sclerosis Journal. 2024 Nov 1 (Vol. 30, No. 4, pp. 2-2).
  9. Henson GJ, van der Mei I, Taylor BV, Claflin SB, Palmer AJ, Campbell JA and Chen G (joint senior author). The subjective wellbeing of people living with Multiple Sclerosis in Australia: insights from the Personal Wellbeing Index. Health and quality of life outcomes. 2024 Sep 30;22(1):83.
  10. Campbell JA, Simpson-Yap S, Taylor BV, van der Mei I, Laslett L, Henson G, Zhao T, Palmer AJ. Significantly increasing multiple sclerosis prevalence in Australia from 2010 to 2021. Multiple Sclerosis Journal. 2024 Aug;30(9):1113-27.
  11. Henson GJ, van der Mei I, Taylor BV, Blacklow P, Claflin SB, Palmer AJ, Hurst C, Campbell JA. The quality of life impact of the COVID-19 pandemic and lockdowns for people living with multiple sclerosis (MS): evidence from the Australian MS Longitudinal Study. Quality of Life Research. 2024 Jun;33(6):1675-89.
  12. Palmer AJ, Zhao T, Taylor BV, van der Mei I, Campbell JA. Exploring the cost-effectiveness of EBV vaccination to prevent multiple sclerosis in an Australian setting. Journal of Neurology, Neurosurgery & Psychiatry. 2024 May 1;95(5):401-9.
  13. Zhao T, Taylor BV, Campbell JA, Palmer AJ. The disease-modifying therapy utilisation and cost trend for multiple sclerosis in Australia between 2013 and 2022. Multiple Sclerosis Journal. 2024 Jan;30(1):80-8.

Last updated 31 March 2026

lead investigator

co-investigators

Professor Andrew Palmer
Professor Ingrid van der Mei

total funding

$225,000

start year

2024

duration

3 years

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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Measuring all the economic impacts of MS to aid resourcing