Process for CTAF, Midwest CEPAC and New England CEPAC

ICER’s core programs (CTAF, Midwest CEPAC, New England CEPAC) have a joint mission to aid patients, physicians, and policymakers in the application and use of the most up-to-date information to improve the quality and value of health care in the region through three mechanisms:

  1. Providing all health care decision makers with independent, rigorous evaluation of the strength of evidence behind high-impact health care interventions.
  2. Producing robust economic models on the potential impact of new therapies.
  3. Offering evidence-based recommendations related to improving practice and policy.  These recommendations are intended to inform provider quality improvement activities, enrich patient information materials, and support decisions surrounding coverage policies and benefits.

Ultimately, these programs create an open, transparent process through which payers, providers, and the public can work together to improve the application of evidence throughout the health care system.

Public Meetings

Public meetings for each program are held about three times a year. Each meeting is based on a report developed by ICER. Reports aim to synthesize available evidence on comparative clinical effectiveness, analyze cost-effectiveness and budget impact, and summarize relevant coverage policies and professional guidelines.  Each meeting has three main components and is typically structured as follows:

  1. Evidence review: Meetings begin with a review of the current evidence and the results of economic modeling included in CEPAC’s report.
  2. Council Voting: Following the evidence review, CEPAC deliberates and votes on comparative clinical effectiveness and value based on available evidence.
  3. Policy Roundtable: Meetings conclude with a policy roundtable session, during which the Council is joined by a panel of patient, payer, and clinical stakeholder representatives with expertise in the topic area. The intent of each panel is to discuss how evidence can best be applied to policy and practice throughout New England.

ICER’s report and meeting process allow several opportunities for stakeholder and public input.  Stakeholders and members of the public are encouraged to comment on the initial scope of the report as well as the publicly available draft version of the report and are provided an opportunity to make oral remarks during the public meeting. Proceedings are conducted in a public forum to ensure transparency and accountability to all stakeholders throughout the process.