A new white paper authored by Bruce Pyenson and colleagues from Milliman explains why the US Institute for Clinical and Economic Review (ICER) cost-effective analyses (CEAs) will not be very useful for private payers’ medicine coverage decisions.
A summary of the findings was presented on the Pharmaceutical and Research Manufacturers of America by Lauren Neves, a director of policy at PhRMA focusing on the value of cancer medicines, medication adherence, and payment and delivery reform
The whitepaper identifies several problems in applying ICER’s reports to inform coverage decisions by private payers, including:
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