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

• Record Nr.: UNINA9910450368003321
• Pubbl/distr/stampa: Santa Monica, CA, : RAND, 2000
• ISBN: 0-8330-4386-2
• Descrizione fisica: 1 online resource (76 p.)
• Collana: MR / Rand Corporation ; ; MR-1195-HIMA
• Altri autori (Persone): GarberSteven
• Disciplina: 610/.28
• Soggetti: Managed care plans (Medical care); Medical technology - Effect of managed care on - United States; Medical instruments and apparatus - United States - Marketing; Medical innovations; Electronic books.
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: "The research ... supported by the Health Industry Manufactures Association, the California Goldstrike Partnership, and the U.S. Economic Development Administration."
• Nota di bibliografia: Includes bibliographical references (p. 65-70).
• Nota di contenuto: ""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""