icerwatch: analysis & COMMENTARY
damaged goods: imaginary icer value assessments and the department of veterans affairs (VA)
The QALY is a mathematically impossible construct. So what are the benefits — if any — of the collaboration between ICER and the Department of Veterans Affairs?
the truth is out there: icer’s commitment to imaginary approximate information
For ICER, evidence to support formulary decisions is created through imaginary simulation modeling, not through the standards of normal science. This is not a sound basis for formulary decisions.
understanding measurement: why icer is wrong
ICER uses a reference case cost-per-QALY value assessment framework to evaluate treatment therapies. There are a number of reasons this methodology is flawed and should not be used. But the most fundamental issue is ICER does not seem to understand the limitations of measurement.
Abandoning icer lifetime QALYs
The lieftime QALY should be abandoned. And ICER’s reliance on the lifetime QALY makes ICER an unnecessary distraction.