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In November, ICER released a revised Evidence Report assessing the comparative clinical effectiveness and value of sotatercept (Merck & Co) for pulmonary arterial hypertension (PAH).
Register here for the December 1st virtual public meeting where an independent appraisal council will review the evidence, hear further testimony from stakeholders, and deliberate on the treatment’s comparative clinical effectiveness, other potential benefits, a long-term value for money.
ICER will publish the annual unsupported price increase report on 12/11. Learn more.
Dear Friends of ICER,
As the season of giving approaches, we ask that you consider ICER among your top philanthropic priorities.
This year, ICER’s assessments of treatments for sickle cell disease, Alzheimer’s disease, multiple sclerosis, metachromatic leukodystrophy, and other conditions showcase the singular role only ICER plays in the US healthcare system.
Where other countries fund government agencies to ensure patients have fair access to high-value care, the US health system increasingly turns to ICER – an independent, non-partisan, non-government, non-profit. No other organization is able to:
- Independently evaluate the clinical evidence and set benchmarks for fair pricing referred to by policymakers around the world.
- Convene a transparent, public discussion with all stakeholders that tackles the issues of evidence, value and access.
- Establish a framework for judging the fairness of coverage criteria created by payers and decision makers.
- Identify key actions to address health inequities that can be taken by payers and manufacturers when introducing new treatments.
ICER’s independent funding model distinguishes us from the many other players in the health care space: free from pressures of profit and special interest, we are an impartial arbitrator of evidence and value; a trusted voice linking science to decision making. When you donate to ICER, you help keep us independent.
Please help us ensure that the US health care system moves toward fairer prices and fairer access, while still incentivizing future innovation. Contribute today.
Steve Pearson, MD, MSc
Featured News & Insights.
Learn about our latest work.
Our Origin Story.
Dr. Steve Pearson explains why he founded an organization to advance the use of evidence to improve health care affordability and access for all patients and their families.
The ICER Impact.
New York Medicaid pursued discounts, many of which were in line with ICER reports, which have saved the state over $500 million
Engaged with over 400 patient groups and patient reps
Easy access to our latest policy papers
ICER’s third annual “Barriers to Fair Access” assessment of prescription drug coverage policies within US commercial insurance, and the Veterans Health Administration. The analysis found that major payer coverage policies for 18 drugs often met fair access criteria for cost sharing, clinical eligibility, step therapy, and provider restrictions.
However, the report’s findings suggest that major improvements are needed in the transparency of coverage policy information for consumers, and in detailing out-of-pocket costs for patients.
Seven out of 10 high-expenditure drugs had substantial 2021 net price increases that were not supported by new clinical evidence; these increases accounted for $805 million in additional costs over one year.
Additionally, three Medicare Part B drugs with high list price increases in 2020 lacked adequate supporting new evidence, directly raising annual out-of-pocket expenses for Medicare patients by up to $3,200 per year.
ICER received a new grant from The Commonwealth Fund to evaluate procedural and methodological changes that could further support health equity goals in health technology assessment (HTA). The findings from this effort will guide ICER’s update to its value assessment framework and inform the work of other HTA groups worldwide.