I had an older one for my QT but it was unreliable. I'm debating getting another.
Yes, they clarify the water, and they reduce the number of parasites/pathogens in a tank but they cannot cure or eradicate any parasite issues since they can only kill what passes through them; any parasites on fish or substrate will be unaffected. They can also be used to isolate connected systems and prevent spread of parasite/disease from one system to another. In all cases proper sizing is important, even more so when used to isolate connected tanks.