메뉴 건너뛰기




Volumn 11, Issue 5, 1996, Pages 294-302

The review process used by U.S. health care plans to evaluate new medical technology for coverage

Author keywords

evidence based medicine; insurance; managed care; medical decision making; technology assessment

Indexed keywords

ARTICLE; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH INSURANCE; HUMAN; MEDICAL DECISION MAKING; MEDICAL RESEARCH; MEDICAL TECHNOLOGY; NORMAL HUMAN; UNITED STATES; ADMINISTRATIVE PERSONNEL; BIOMEDICAL TECHNOLOGY ASSESSMENT; CROSS-SECTIONAL STUDY; DECISION MAKING; ECONOMICS; EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH; INSURANCE; QUESTIONNAIRE;

EID: 0029665408     PISSN: 08848734     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02598272     Document Type: Article
Times cited : (33)

References (35)
  • 1
    • 84933495832 scopus 로고
    • Health insurers' assessment of medical necessity
    • Hall MA, Andersen GF. Health insurers' assessment of medical necessity. Univ PA Law Rev. 1992;140:1637-1712.
    • (1992) Univ PA Law Rev , vol.140 , pp. 1637-1712
    • Hall, M.A.1    Andersen, G.F.2
  • 2
    • 0028508672 scopus 로고
    • Technology assessment and coverage decision making
    • McGivney W. Technology assessment and coverage decision making. AAPPO J. 1994;4(5):11-7.
    • (1994) AAPPO J , vol.4 , Issue.5 , pp. 11-17
    • McGivney, W.1
  • 5
    • 0008487196 scopus 로고
    • Blue Cross and Blue Shield Association initiatives in technology assessment
    • Gelijns AC, Dawkins HP, eds. Committee on Technological Innovation in Medicine, Institute of Medicine, Washington, UC: National Academy Press
    • Gleeson S. Blue Cross and Blue Shield Association initiatives in technology assessment. In: Gelijns AC, Dawkins HP, eds. Adopting New Medical Technology. Committee on Technological Innovation in Medicine, Institute of Medicine, Washington, UC: National Academy Press: 1994.
    • (1994) Adopting New Medical Technology
    • Gleeson, S.1
  • 6
    • 0028158336 scopus 로고
    • Variation in approval by insurance companies of coverage for autologous bone marrow transplantation for breast cancer
    • Peters WP, Rogers MC. Variation in approval by insurance companies of coverage for autologous bone marrow transplantation for breast cancer. N Engl J Med. 1994;330(7):473-7.
    • (1994) N Engl J Med , vol.330 , Issue.7 , pp. 473-477
    • Peters, W.P.1    Rogers, M.C.2
  • 7
    • 0020480204 scopus 로고
    • Evaluation of medical-technology strategies. Effects of coverage and reimbursement
    • Bunker JP, Fowles J, Schaffarzick R. Evaluation of medical-technology strategies. Effects of coverage and reimbursement. N Engl J Med. 1982;306(10):620-4.
    • (1982) N Engl J Med , vol.306 , Issue.10 , pp. 620-624
    • Bunker, J.P.1    Fowles, J.2    Schaffarzick, R.3
  • 8
    • 0025400474 scopus 로고
    • Controlling health care costs by controlling technology: A private contractual approach
    • Kalb P. Controlling health care costs by controlling technology: a private contractual approach. The Yale Law Journal. 1990;99: 1109-26.
    • (1990) The Yale Law Journal , vol.99 , pp. 1109-1126
    • Kalb, P.1
  • 9
    • 0021499456 scopus 로고
    • The process of evaluating medical technologies for third-party coverage
    • Finkelstein ST, Isaacson KA, Frishkopf JJ. The process of evaluating medical technologies for third-party coverage. J Health Care Technol. 1984;1(2):89-101.
    • (1984) J Health Care Technol , vol.1 , Issue.2 , pp. 89-101
    • Finkelstein, S.T.1    Isaacson, K.A.2    Frishkopf, J.J.3
  • 10
    • 0019731607 scopus 로고
    • Determining health insurance coverage of technology: Problems and options
    • Greenberg B, Derzon RA. Determining health insurance coverage of technology: problems and options. Med Care. 1981;19(10):967-78.
    • (1981) Med Care , vol.19 , Issue.10 , pp. 967-978
    • Greenberg, B.1    Derzon, R.A.2
  • 11
    • 0019381357 scopus 로고
    • The scientific basis for coverage decision by third party payers
    • Towery OB, Perry S. The scientific basis for coverage decision by third party payers. JAMA. 1981;245(1):59-61.
    • (1981) JAMA , vol.245 , Issue.1 , pp. 59-61
    • Towery, O.B.1    Perry, S.2
  • 12
    • 0026634197 scopus 로고
    • Cancer therapy: Reimbursement of new therapeutic technologies
    • Williams HM. Cancer therapy: reimbursement of new therapeutic technologies. Yale J Biology and Medicine. 1992;65:83-97.
    • (1992) Yale J Biology and Medicine , vol.65 , pp. 83-97
    • Williams, H.M.1
  • 13
    • 0027958131 scopus 로고
    • Life, death and the insurance companies
    • Light DW. Life, death and the insurance companies (editorial). New Engl J Med. 1994;330(7):498-9.
    • (1994) New Engl J Med , vol.330 , Issue.7 , pp. 498-499
    • Light, D.W.1
  • 14
    • 0345784977 scopus 로고
    • Researchers Call Insurers "Arbitrary" in Covering Bone-Marrow Transplants
    • Feb 17; Sect. B
    • Anders G. Researchers Call Insurers "Arbitrary" in Covering Bone-Marrow Transplants. The Wall Street Journal. 1994 Feb 17; Sect. B: 12.
    • (1994) The Wall Street Journal , pp. 12
    • Anders, G.1
  • 15
    • 9344257328 scopus 로고
    • Aetna technology assessment
    • McGivney W, Fersch C. Aetna technology assessment. Aetna TA. 1991;1(1):1-3.
    • (1991) Aetna TA , vol.1 , Issue.1 , pp. 1-3
    • McGivney, W.1    Fersch, C.2
  • 16
    • 0028775550 scopus 로고
    • Sounding board: I had a tough day today
    • Boren SD. Sounding board: I had a tough day today. Hillary, New Engl J Med. 1994;330(7):500-2.
    • (1994) Hillary, New Engl J Med , vol.330 , Issue.7 , pp. 500-502
    • Boren, S.D.1
  • 19
    • 0026429704 scopus 로고
    • They really should call it managed doctors
    • Gray J. They really should call it managed doctors. Medical Economics, 1991:64-81.
    • (1991) Medical Economics , pp. 64-81
    • Gray, J.1
  • 22
    • 9344269953 scopus 로고
    • Issues in improving effectiveness research
    • U.S. Congress, Office of Technology Assessment. OTA-H-608. Washington, DC: U.S. Government Printing Office: September
    • Issues in improving effectiveness research. In: U.S. Congress, Office of Technology Assessment. Identifying Health Technologies That Work. Searching for Evidence, OTA-H-608. Washington, DC: U.S. Government Printing Office: September 1994;77-105.
    • (1994) Identifying Health Technologies That Work. Searching for Evidence , pp. 77-105
  • 23
    • 18744434766 scopus 로고
    • Alternative methods for formal literature review and meta-analysis in AHCPR patient outcomes research teams
    • Powe NR, Turner JA, Maklan C, Ersek M. Alternative methods for formal literature review and meta-analysis in AHCPR patient outcomes research teams. Med Care. 1994;32(7 suppl):JS22-37.
    • (1994) Med Care , vol.32 , Issue.7 SUPPL.
    • Powe, N.R.1    Turner, J.A.2    Maklan, C.3    Ersek, M.4
  • 24
    • 9344260292 scopus 로고
    • Tools for effectiveness research
    • U.S. Congress, Office of Technology Assessment, OTA-H-608. Washington, DC: U.S. Government Printing Office: September
    • Tools for effectiveness research. In: U.S. Congress, Office of Technology Assessment, Identifying Health Technologies That Work. Searching for Evidence, OTA-H-608. Washington, DC: U.S. Government Printing Office: September 1994;39-76.
    • (1994) Identifying Health Technologies That Work. Searching for Evidence , pp. 39-76
  • 26
    • 0037585652 scopus 로고
    • AHCPR publication no. 93-0023: August
    • U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, AHCPR Program Note. Clinical Practice Guideline Development. AHCPR publication no. 93-0023: August 1993.
    • (1993) AHCPR Program Note. Clinical Practice Guideline Development
  • 27
    • 0024233157 scopus 로고
    • Hospital utilization review: Past experience, future directions
    • Ermann D. Hospital utilization review: past experience, future directions. J Health Polit Policy Law. 1988;13(4):683-704.
    • (1988) J Health Polit Policy Law , vol.13 , Issue.4 , pp. 683-704
    • Ermann, D.1
  • 29
    • 0027481875 scopus 로고
    • Court-ordered reimbursement for unproven medical technology: Circumventing technology assessment
    • Ferguson JH, Dubinsky M, Kirsch PJ. Court-ordered reimbursement for unproven medical technology: circumventing technology assessment. JAMA. 1993;269(16):2116-21.
    • (1993) JAMA , vol.269 , Issue.16 , pp. 2116-2121
    • Ferguson, J.H.1    Dubinsky, M.2    Kirsch, P.J.3
  • 30
    • 0027486685 scopus 로고
    • Medical technology assessment and practice guidelines: Their day in court
    • Anderson GF, Hall MA, Steinberg EP, Medical technology assessment and practice guidelines: their day in court. Am J Pub Health. 1993;83(11):1635-9.
    • (1993) Am J Pub Health , vol.83 , Issue.11 , pp. 1635-1639
    • Anderson, G.F.1    Hall, M.A.2    Steinberg, E.P.3
  • 31
    • 0024980270 scopus 로고
    • Sounding hoard: Cost effectiveness as a criterion for medicare coverage
    • Leaf A. Sounding hoard: cost effectiveness as a criterion for medicare coverage. N Engl J Med. 1989;321(13):898-900.
    • (1989) N Engl J Med , vol.321 , Issue.13 , pp. 898-900
    • Leaf, A.1
  • 32
    • 0001475690 scopus 로고
    • Medicare Program: Criteria and Procedures for Making Medical Services Coverage Decisions that Relate to Health Care Technology
    • Department of Health and Human Services. Health Care Financing Administration. Medicare Program: Criteria and Procedures for Making Medical Services Coverage Decisions that Relate to Health Care Technology. Fed Reg. 1989;54(18):4302-17.
    • (1989) Fed Reg , vol.54 , Issue.18 , pp. 4302-4317
  • 33
    • 0023607059 scopus 로고
    • Financial incentives for physicians in HMOs. Is there a conflict of interest?
    • Hillman AL. Financial incentives for physicians in HMOs. Is there a conflict of interest? N Engl J Med. 1987;317:1743-8.
    • (1987) N Engl J Med , vol.317 , pp. 1743-1748
    • Hillman, A.L.1
  • 34
    • 0026800726 scopus 로고
    • Health policy report: The American health care system, managed care
    • Iglehart J. Health policy report: The American health care system, managed care. N Engl J Med. 1992;327(10):742-7.
    • (1992) N Engl J Med , vol.327 , Issue.10 , pp. 742-747
    • Iglehart, J.1
  • 35
    • 0000655664 scopus 로고
    • While Congress remains silent, health care transforms itself
    • Dec 18;Sect. A
    • Eckholm E. While Congress remains silent, health care transforms itself. New York Times, 1994 Dec 18;Sect. A:1.
    • (1994) New York Times , pp. 1
    • Eckholm, E.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.