Managed care and the evaluation and adoption of emerging medical technologies / Steven Garber ... [et al.].

Format:

Book

Contributor:

Garber, Steven.

Rand Corporation.

Series:

Rand ; MR-1195-HIMA.

MR / Rand Corporation ; MR-1195-HIMA

Language:

English

Subjects (All):

Managed care plans (Medical care).

Medical technology--Effect of managed care on--United States.

Medical technology.

Medical instruments and apparatus--United States--Marketing.

Medical instruments and apparatus.

Medical innovations.

Physical Description:

1 online resource (76 p.)

Edition:

1st ed.

Other Title:

Evaluation and adoption of emerging medical technologies

Emerging medical technologies

Place of Publication:

Santa Monica, CA : RAND, 2000.

Language Note:

English

Summary:

This guide exmaines the adoption of innovative medical techniques by managed care organization (MCOs). The authors discuss how the MCO's make medical-necessity and payment decisions involving these technologies and the ways in which this process could be improved.

Contents:

""PREFACE""; ""SUMMARY""; ""PERSPECTIVES OF MANUFACTURERS""; ""PERSPECTIVES OF MCO MEDICAL DIRECTORS""; ""HOW MIGHT TECHNOLOGY ADOPTION BE IMPROVED?""; ""ACKNOWLEDGMENTS""; ""INTRODUCTION""; ""PROJECT BACKGROUND AND OBJECTIVES""; ""OVERVIEW OF THE STUDY""; ""TECHNOLOGY-ADOPTION DECISIONS BY MCOs: AN OVERVIEW""; ""HOW DEVICE MANUFACTURERS SEE THE SYSTEM""; ""BACKGROUND ON MANUFACTURER INTERVIEWS Recruitment of Interview Respondents""; ""Content of Interviews""; ""Descriptions of Companies Interviewed and Devices Discussed""; ""RECENT EXPERIENCE IN COMMERCIALIZING DEVICES""

""Manufacturer Views on MCO Processes and Decisions""""Marketing Strategies and Tactics""; ""Potential Hurdles to Device Adoption by MCOs""; ""Special Hurdles for Very Innovative Technologies""; ""HOW MCO MEDICAL DIRECTORS SEE THE SYSTEM""; ""BACKGROUND ON MCO INTERVIEWS Recruitment of Interview Respondents""; ""Content of the Interviews""; ""Descriptions of the MCOs Interviewed""; ""RECENT MCO EXPERIENCES WITH TECHNOLOGY ADOPTION""; ""Triggers for Formal Coverage Decisionmaking""; ""The Technology Assessment Processes of MCOs""; ""Participation of Manufacturers in the TA Process""

""Nonmedical Factors Affecting Coverage Decisions""""Reconsideration of Coverage Decisions""; ""Determining Payment Levels for New Devices""; ""Case-by-Case Determinations of Medical Necessity""; ""ADVICE FOR MANUFACTURERS""; ""ADVICE FROM EXPERIENCED MANUFACTURERS TO ASPIRING MANUFACTURERS""; ""ADVICE FROM MCOs TO MANUFACTURERS""; ""HOW MIGHT TECHNOLOGY ADOPTION BE IMPROVED?""; ""BALANCING COSTS AND BENEFITS OF TECHNOLOGY ADOPTION""; ""MCOs AND THE TECHNOLOGY-ADOPTION PROCESS""; ""IMPROVING CLINICAL INFORMATION""; ""OTHER ISSUES THAT WARRANT CONSIDERATION""

""Aligning Private Incentives of MCOs and Payers with Social Values""""Enhancing MCO Capabilities to Evaluate Technologies and Make Decisions""; ""Improving Decisions by Physicians""; ""Reducing Use of Inappropriate or Obsolete Technologies""; ""Reducing Costs of Decisionmaking for Manufacturers and MCOs""; ""Improving Manufacturer Understanding of the Market Environment""; ""Helping MCOs and Employers Anticipate What Is in the Pipeline""; ""MOVING FORWARD""; ""PROJECT DESCRIPTION FOR PROSPECTIVE INTERVIEW RESPONDENTS""; ""Project Description""

""DESCRIPTION OF INTERVIEWS WITH DEVICE MANUFACTURERS""""Description of Interviews with Device Manufacturers""; ""ISSUES WE WOULD LIKE TO DISCUSS Background information""; ""Experience with each specific device (up to two)""; ""Lessons learned""; ""DESCRIPTION OF INTERVIEWS WITH MANAGED CARE ORGANIZATIONS""; ""Description of Interviews with Managed Care Organizations""; ""ISSUES WE WOULD LIKE TO COVER Coverage Decision Making""; ""Setting the Payment Level""; ""Medical Necessity Decisionmaking""; ""Lessons Learned""; ""REFERENCES""

Notes:

"The research ... supported by the Health Industry Manufactures Association, the California Goldstrike Partnership, and the U.S. Economic Development Administration."

Includes bibliographical references (p. 65-70).

ISBN:

0-8330-4386-2

OCLC:

70764305