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200 00$aManaged care and the evaluation and adoption of emerging medical technologies$b[electronic resource] /$fSteven Garber ... [et al.]
210   $aSanta Monica, CA $cRAND$d2000
215   $a1 online resource (76 p.)
225 1 $aMR / Rand Corporation ;$vMR-1195-HIMA
300   $a"The research ... supported by the Health Industry Manufactures Association, the California Goldstrike Partnership, and the U.S. Economic Development Administration."
311   $a0-8330-2831-6 
320   $aIncludes bibliographical references (p. 65-70).
327   $a""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""
327   $a""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""
327   $a""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""
327   $a""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""
327   $a""DESCRIPTION OF INTERVIEWS WITH DEVICE MANUFACTURERS""""Description of Interviews with Device Manufacturers""; ""ISSUES WE WOULD LIKE TO DISCUSS Background information""; ""Experience with each specific device (up to two)""; ""Lessons learned""; ""DESCRIPTION OF INTERVIEWS WITH MANAGED CARE ORGANIZATIONS""; ""Description of Interviews with Managed Care Organizations""; ""ISSUES WE WOULD LIKE TO COVER Coverage Decision Making""; ""Setting the Payment Level""; ""Medical Necessity Decisionmaking""; ""Lessons Learned""; ""REFERENCES""
410  0$aRand ;$vMR-1195-HIMA.
606   $aManaged care plans (Medical care)
606   $aMedical technology$xEffect of managed care on$zUnited States
606   $aMedical instruments and apparatus$zUnited States$xMarketing
606   $aMedical innovations
615  0$aManaged care plans (Medical care)
615  0$aMedical technology$xEffect of managed care on
615  0$aMedical instruments and apparatus$xMarketing.
615  0$aMedical innovations.
676   $a610/.28
701   $aGarber$b Steven$0914434
712 02$aRand Corporation.
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996   $aManaged care and the evaluation and adoption of emerging medical technologies$93866425
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