The QALY as centerpiece to claims by ICER on the construction of reference case imaginary worlds is nonsensical; imaginary ‘for approximate information’ constructs have no role in formulary decision making
Modeled claims for lifetime imaginary QALYs rests on the ability of the modelers to construct estimates of different time spent by hypothetical patients over their lifetimes in disease states to which utilities can be applied which again, fails to meet the standards of normal science
Utilities typically employed by model builders to generate QALYs (utility multiplied by time) are ordinal rather than cardinal measures, they fail standards for fundamental measurement; the resulting QALY ‘measure’ is logically absurd
Maimon Research can advise clients who presented with QALY and cost per QALY claims as to whether they meet the standards for scientific inquiry. If not, alternative claims frameworks can be proposed.