Milliman Study on Limitations in Using ICER’s “Potential Budget Impact” Work to Guide Private Payer Budget Decisions

Milliman budget impact analysis

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A new whitepaper authored by Bruce Pyenson, F.S.A., M.A.A.A. and colleagues from Milliman explains why Institute for Clinical and Economic Review (ICER) potential budget impact analyses are not very useful for private payers’ budget decisions. The whitepaper’s authors identify several weaknesses in ICER’s budget impact analysis, which they believe limits the usefulness of this approach for private payers.