Fact Check: Incremental Cost-Effectiveness Ratio (ICER) is used to evaluate healthcare interventions.

Fact Check: Incremental Cost-Effectiveness Ratio (ICER) is used to evaluate healthcare interventions.

Published July 3, 2025
VERDICT
True

# Fact Check: "Incremental Cost-Effectiveness Ratio (ICER) is used to evaluate healthcare interventions." ## What We Know The **Incremental Cost-Effe...

Fact Check: "Incremental Cost-Effectiveness Ratio (ICER) is used to evaluate healthcare interventions."

What We Know

The Incremental Cost-Effectiveness Ratio (ICER) is indeed a widely recognized metric used in healthcare to evaluate the cost-effectiveness of different interventions. It is defined as the difference in costs between two competing interventions divided by the difference in their health outcomes, typically expressed in terms of quality-adjusted life years (QALYs) gained. This method allows policymakers and healthcare providers to assess whether the additional benefits of a new intervention justify its costs (source-1, source-4).

ICER has been utilized by health technology assessment agencies globally for several decades to summarize economic evaluations of health interventions (source-2). For instance, in the UK, the National Institute for Health and Care Excellence (NICE) employs ICER thresholds to determine the cost-effectiveness of treatments, typically ranging from £20,000 to £30,000 per QALY (source-1). Similarly, other countries have established their own thresholds based on ICER calculations to guide healthcare funding decisions (source-1).

Analysis

The claim that ICER is used to evaluate healthcare interventions is supported by a substantial body of literature and practice. The ICER serves as a critical tool for decision-makers in healthcare, allowing them to compare the relative value of different medical interventions (source-1, source-6).

However, while ICER is a valuable metric, it is not without its criticisms. Some experts argue that relying solely on ICER can overlook important social, ethical, and political considerations in healthcare decision-making (source-1). For example, a strict adherence to ICER thresholds may restrict access to necessary treatments for patients, particularly in cases where the benefits are significant but the costs are high (source-1).

The sources cited are generally reliable, coming from peer-reviewed journals and established health organizations. The information provided is consistent across multiple credible sources, reinforcing the validity of ICER as a tool in healthcare evaluation (source-2, source-4, source-6).

Conclusion

Verdict: True
The claim that the Incremental Cost-Effectiveness Ratio (ICER) is used to evaluate healthcare interventions is accurate. ICER is a fundamental component of health economics, widely utilized to assess the cost-effectiveness of various medical treatments and interventions. While it is a crucial tool for informing healthcare decisions, it is important to consider its limitations and the broader context in which these evaluations take place.

Sources

  1. Incremental Cost-effectiveness Thresholds for Policy ...
  2. Calculating and Interpreting ICERs and Net Benefit - PubMed
  3. Median-Based Incremental Cost-Effectiveness Ratio (ICER)
  4. Cost-Effectiveness Analysis
  5. Cost-Effectiveness Analysis (CEA)
  6. Incremental cost-effectiveness ratio - Wikipedia
  7. Incremental Cost-Effectiveness Ratio - ScienceDirect
  8. Incremental Cost-Effectiveness Ratio (ICER) - YHEC

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