Medicare's enduring struggle to define "reasonable and necessary" care

New England Journal of Medicine

Volumn 367, Issue 19, 2012, Pages 1775-1777

  Neumann, Peter J ^a   Chambers, James D ^a  

^a TUFTS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHANGE MANAGEMENT; COST EFFECTIVENESS ANALYSIS; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH PROGRAM; MEDICARE; MEDICOLEGAL ASPECT; PATIENT CARE; PRIORITY JOURNAL; REIMBURSEMENT; SHORT SURVEY;

EID: 84868530961     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMp1208386     Document Type: Article

References (5)

1. Redberg RF, Walsh J. Pay now, benefits may follow - the case of cardiac computed tomographic angiography. N Engl J Med 2008;359:2309-11.
2. Tunis SR, Berenson RA, Phurrough SE, Mohr PE. Improving the quality and efficiency of the Medicare program through coverage policy: timely analysis of immediate health policy issues. Urban Institute, 2011 (http://www.urban.org/url. cfm?ID=412392).
3. Hays v. Leavitt, 583 F. Supp. 2d 62, 69, 72 (D.D.C. 2008).
4. Hays v. Sebelius, 589 F.3d 1279, 1280 (D.C. Circuit 2009).
5. Fox J. The hidden role of cost: Medicare decisions, transparency and public trust. Univ Cinci Law Rev 2010;79(1):1-51.