ICER Value Assessment Framework

The ICER value framework describes the conceptual framework and set of associated methods that guide the development of ICER evidence reports.  The purpose of the value framework is to form the backbone of rigorous, transparent evidence reports that, as a basis for broader stakeholder and public engagement, will help the United States evolve toward a health care system that provides sustainable access to high-value care for all patients.

The initial framework was developed with input from a multi-stakeholder workgroup that included the perspective of patient advocates, clinical societies, life sciences companies, pharmaceutical benefit managers, and insurers.  All participants provided input into the development of the value assessment framework but none should be assumed to approve of its approach.

Proposed adaptation of the ICER value framework for the assessment of treatments for ultra-rare conditions

ICER is currently accepting public comments on  proposed adaptations to the value assessment framework to apply when the topic under review is a treatment for an “ultra-rare” condition. These proposals will be open for public comment until September 25, 2017, following which ICER will reflect on comments received, pursue additional feedback from stakeholders, and post a final version of adapted methods in the fall of 2017. To download the proposals, click here.

Comments can be emailed as Word documents to and must be received by 5pm ET on September 25, 2017.

Value Framework Update

ICER’s final update for 2017-2019 is now available.
View as webpage | View as PDF

In 2016, ICER’s existing value framework was opened to public comment as part of a planned update to ICER’s methods. During the public comment period, ICER received over 50 sets of comments from patients, clinicians, life science companies, and other stakeholders. In addition, ICER convened a one-day meeting with over 40 health care stakeholders to review the current Value Assessment Framework.

Based on feedback received during the public comment period and at the stakeholder meeting, ICER published a set of proposed changes to the Value Assessment Framework in February of 2017. This document was again opened to public comment until April 3, 2017. During this time, an additional 43 sets of comments were received, which are woven into the final document.

A regular update cycle is planned for every two years.


For those interested in a detailed explanation of the proposed updates to ICER’s Value Assessment Framework, watch a recording of Dr. Steven Pearson’s webinar detailing the changes here.

Download the slide presentation from the webinar here.