05018nam 2200649 a 450 991045036800332120200520144314.00-8330-4386-2(CKB)1000000000004891(EBL)3031503(SSID)ssj0000281676(PQKBManifestationID)11224963(PQKBTitleCode)TC0000281676(PQKBWorkID)10306383(PQKB)10162351(MiAaPQ)EBC3031503(Au-PeEL)EBL3031503(CaPaEBR)ebr2004621(OCoLC)70764305(EXLCZ)99100000000000489120000531d2000 uy 0engur|n|---|||||txtccrManaged care and the evaluation and adoption of emerging medical technologies[electronic resource] /Steven Garber ... [et al.]Santa Monica, CA RAND20001 online resource (76 p.)MR / Rand Corporation ;MR-1195-HIMA"The research ... supported by the Health Industry Manufactures Association, the California Goldstrike Partnership, and the U.S. Economic Development Administration."0-8330-2831-6 Includes bibliographical references (p. 65-70).""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""Rand ;MR-1195-HIMA.Managed care plans (Medical care)Medical technologyEffect of managed care onUnited StatesMedical instruments and apparatusUnited StatesMarketingMedical innovationsElectronic books.Managed care plans (Medical care)Medical technologyEffect of managed care onMedical instruments and apparatusMarketing.Medical innovations.610/.28Garber Steven914434MiAaPQMiAaPQMiAaPQBOOK9910450368003321Managed care and the evaluation and adoption of emerging medical technologies2048622UNINA