ICER value framework 2020 update: recommendations on the aggregation of benefits and contextual considerations

Angelis, Aris ORCID: 0000-0002-0261-4634, Kanavos, Panos ORCID: 0000-0001-9518-3089 and Phillips, Lawrence D. (2020) ICER value framework 2020 update: recommendations on the aggregation of benefits and contextual considerations. Value in Health, 23 (8). 1040 - 1048. ISSN 1098-3015

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Abstract

The Institute for Clinical and Economic Review (ICER) in the United States recently published a 2020 update to its value assessment framework. We are commenting on the method by which the benefits of health interventions are integrated, relating to contextual considerations and other factors relevant to an intervention's value. We start by discussing the theoretical foundations of decision analysis and its extension to multiple criteria decision analysis (MCDA). Then we provide a detailed, evidence-based response to some of the claims made by ICER with regard to the use of MCDA methods and stakeholder engagement. Finally, we provide a number of recommendations on the use of quantitative decision analysis and decision conferencing that could be of relevance to the ICER methodology. Overall, we agree that some of the proposed changes by ICER are moving in the right direction toward improving transparency in the value assessment process, but these changes are probably inadequate. We advocate that more serious attention should be paid to the use of quantitative decision analysis together with decision conferencing for the construction of value preferences via group processes for the integration of an intervention's various benefit components.

Item Type:	Article
Official URL:	https://www.sciencedirect.com/journal/value-in-hea...
Additional Information:	© 2020 ISPOR–The Professional Society for Health Economics and Outcomes Research
Divisions:	Health Policy Management
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > R Medicine (General)
Date Deposited:	25 Aug 2020 14:18
Last Modified:	12 Dec 2024 02:17
URI:	http://eprints.lse.ac.uk/id/eprint/106238

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