Table 5.

Examples of influential post-regulatory evidence evaluators and decision makers.

Main Stakeholder GroupSubgroupExamples
Payers/purchasersPublic• Medicare/Medicaid (US)
• Provincial ministries of health (Canada)
Private• Health insurance companies
• Health maintenance organizations
• Employers
• Pharmaceutical benefit managers (e.g., ExpressScripts, CVS/Caremark, Optum)
PolicymakersFormulary committees• Individual health systems
• Hospital-level, district, or regional health authority
• State or provincial level
Clinical practice guideline developers• American College of Rheumatology
• Asia Pacific League of Associations for Rheumatology
• Australian Rheumatology Association
• Canadian Rheumatology Association
• European League Against Rheumatism
• International League of Associations for Rheumatology
• NICE
• Pan-American League of Associations for Rheumatology
Principal investigators and evidence review groupsHTA groups• Canadian Agency for Drugs and Technologies in Health
• ECRI Institute, Hayes Inc.
• HTA international
• NIHR-HTA
Systematic reviewers• Cochrane
• Evidence-based Practice Centers
• Agency for Healthcare Research and Quality
Value-framework organizations• Institute for Clinical and Economic Review
• NICE
• NIHR
Decision modelers• International Society for Pharmacoeconomics and Outcomes Research
• Society for Medical Decision Making, numerous academic groups
  • NICE: UK National Institute for Health and Care Excellence; HTA: Health Technology Assessment; NIHR: UK National Institute for Health Research.