Managed care's methods for determining coverage of plastic surgery procedures: The example of reduction mammaplasty

Plastic and Reconstructive Surgery

Volumn 107, Issue 5, 2001, Pages 1234-1240

  Krieger, L M ^a   Lesavoy, M A ^a  

^a UCLA MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BREAST REDUCTION; DECISION MAKING; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; MANAGED CARE; MANAGED CARE ORGANIZATION; MEDICARE; PLASTIC SURGERY; PRIORITY JOURNAL; REIMBURSEMENT;

EID: 0035871779     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/00006534-200104150-00023     Document Type: Article

References (47)

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7. Impact of managed care varies by payer and region
8. Variation in managed care penetration across markets: Findings from the community tracking study
9. Reduction mammaplasty: An outcome study
10. Outcome analysis of reduction mammaplasty
11. Corrective or cosmetic? Plastic surgery stirs a debate
12. 200-gm reduction of breast should be enough for insurance coverage of reduction mammaplasty
13. Reduction mammaplasty: Criteria for insurance coverage
14. Issues of medical necessity: A medical director's guide to good faith adjudication
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21. Research needs for managed care
22. On drinking with your competitors after five: Research collaboration in the real world
23. The state of research within managed care plans: 1997 survey
24. Doctors and divided loyalties
25. The HMO (attrition) plan: It's doctors vs. bureaucracy
26. A shot at immunity: Bill allows independent docs to negotiate collectively
27. Antitrust and affiliations among healthcare providers: The need for a level playing field
28. An 1890s law keeps health care from advancing into the 1990s
29. Impact of Medicare payment reductions on access to surgical services
30. One mo' time: HCFA tries to figure your practice costs
31. Specialists sue HCFA over payment
32. Taking control of managed care contracting
33. The art of negotiation: Getting what you want out of a managed care contract
34. Managed care contracting for specialists
35. Independent practice association physician groups in California
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38. Effect of ambulatory utilization review on referrals from generalists to specialists
39. The changing healthcare marketplace: Current industry trends, new provider organizational structures, and effects on plastic surgeons