Coverage decisions for medical technology by managed care: Relationship to organizational and physician payment characteristics

American Journal of Managed Care

Volumn 2, Issue 10, 1996, Pages 1321-1331

  Steiner, Claudia A ^a   Powe, Neil R ^b,c,d   Anderson, Gerard F ^b,c  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Dept of Hygiene and Public Health ^*  (United States)

^d JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 0000505557     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (17)

1. Luce BR, Brown RE. The impact of technology assessment on decisions by health care providers and payers. In: Gelijns AC, Dawkins HV, eds. Adopting New Medical Technology/Committee on Technological Innovation in Medicine. Washington DC: National Academy Press; 1994.
2. Gold MR, Hurley R, Lake T, Ensor T, Berenson R. A national survey of the arrangements managed-care plans make with physicians. N Engl J Med 1995;333:1678-1683.
3. Robinson JC, Casalino LP. The growth of medical groups paid through capitation in California. N Engl J Med 1995;333:1684-1708.
4. Physician Payment Review Commission. Physician payment methods. In: Arrangements Between Managed Care Plans and Physicians: Results from a 1994 Survey of Managed Care Plans. Washington, DC: PPRC; February 1995.
5. US Congress, Office of Technology Assessment. Coverage of Laser Technology by Health Insurers. Washington, DC: US Government Printing Office; August 1995. OTA-BP-H-159.
6. Steiner CA, Powe NR, Anderson GF, Das A. Technology coverage decisions by health care plans and considerations by medical directors. Med Care (forthcoming).
7. Steiner CA, Powe NR, Anderson GF, Das A. The review process used by U.S. health care plans to evaluate new medical technology for coverage. J Gen Intern Med 1996;11:294-302.
8. Powe NR, Steiner CA, Anderson GF, Das A. Awareness of providers' use of new medical technology among private health care plans in the United States. Int J Technol Assess Health Care 1996;12:367-376.
9. Banta D, Schou I. Report of discussion and recommendations. In: Banta D, Schou I, eds. Lasers in Health Care, Effectiveness, Cost-Effectiveness and Policy Implications. Copenhagen, Denmark: Vibo Tryk; 1991:229-249.
10. Group Health Association of America, Inc. Patterns in HMO Enrollment. 4th ed. Washington, DC: GHAA; June 1994.
11. Group Health Association of America, Inc. HMO Industry Profile. 1994 ed. Washington, DC: GHAA; 1994.
12. Interstudy Competitive Edge. Biannual Report of the Managed Health Care Industry. Vol. 3, no 1, Excelsior, MN.
13. Edwards JC. Health maintenance organizations. In: Edwards JC, ed. Medical Practice in the Current Health Care Environment. Baltimore, MD: Johns Hopkins University Press; 1995.
14. Wagner EH. Managing medical practice: The potential of HMOs. In: Gelijns AC, ed. Technology and Health Care in an Era of Limits. Washington, DC: National Academy Press; 1992.
15. Wagner ER. Types of managed care organizations. In: Kongstvedt PR, ed. Essentials of Managed Health Care. Gaithersburg, MD: Aspen Publishers, Inc; 1995.
16. Meszaros E. Looking beyond Fox v. Health Net. Managed Healthcare 1994;4:1.
17. Kerr EA, Mittman BS, Hays RD, et al. Managed care and capitation in California: How do physicians at financial risk control their own utilization? Ann Intern Med 1995;123:500-504.