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Managed care and the evaluation and adoption of emerging medical technologies [[electronic resource] /] / Steven Garber ... [et al.]
| Managed care and the evaluation and adoption of emerging medical technologies [[electronic resource] /] / Steven Garber ... [et al.] |
| Pubbl/distr/stampa | Santa Monica, CA, : RAND, 2000 |
| Descrizione fisica | 1 online resource (76 p.) |
| Disciplina | 610/.28 |
| Altri autori (Persone) | GarberSteven |
| Collana | MR / Rand Corporation |
| Soggetto topico |
Managed care plans (Medical care)
Medical technology - Effect of managed care on - United States Medical instruments and apparatus - United States - Marketing Medical innovations |
| Soggetto genere / forma | Electronic books. |
| ISBN | 0-8330-4386-2 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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"" |
| Record Nr. | UNINA-9910450368003321 |
| Santa Monica, CA, : RAND, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Managed care and the evaluation and adoption of emerging medical technologies [[electronic resource] /] / Steven Garber ... [et al.]
| Managed care and the evaluation and adoption of emerging medical technologies [[electronic resource] /] / Steven Garber ... [et al.] |
| Pubbl/distr/stampa | Santa Monica, CA, : RAND, 2000 |
| Descrizione fisica | 1 online resource (76 p.) |
| Disciplina | 610/.28 |
| Altri autori (Persone) | GarberSteven |
| Collana | MR / Rand Corporation |
| Soggetto topico |
Managed care plans (Medical care)
Medical technology - Effect of managed care on - United States Medical instruments and apparatus - United States - Marketing Medical innovations |
| ISBN | 0-8330-4386-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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"" |
| Record Nr. | UNINA-9910783036403321 |
| Santa Monica, CA, : RAND, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Managed care and the evaluation and adoption of emerging medical technologies / / Steven Garber ... [et al.]
| Managed care and the evaluation and adoption of emerging medical technologies / / Steven Garber ... [et al.] |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Santa Monica, CA, : RAND, 2000 |
| Descrizione fisica | 1 online resource (76 p.) |
| Disciplina | 610/.28 |
| Altri autori (Persone) | GarberSteven |
| Collana | MR / Rand Corporation |
| Soggetto topico |
Managed care plans (Medical care)
Medical technology - Effect of managed care on - United States Medical instruments and apparatus - United States - Marketing Medical innovations |
| ISBN | 0-8330-4386-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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"" |
| Altri titoli varianti |
Evaluation and adoption of emerging medical technologies
Emerging medical technologies |
| Record Nr. | UNINA-9910811355103321 |
| Santa Monica, CA, : RAND, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Redirecting innovation in U.S. health care : options to decrease spending and increase value / / Steven Garber [and six others]
| Redirecting innovation in U.S. health care : options to decrease spending and increase value / / Steven Garber [and six others] |
| Autore | Garber Steven <1950-> |
| Pubbl/distr/stampa | Santa Monica, California : , : RAND Corporation, , 2014 |
| Descrizione fisica | 1 online resource (135 p.) |
| Disciplina | 362.10973 |
| Soggetto topico |
Medical care - United States
Medical care, Cost of - United States Medical innovations |
| ISBN |
0-8330-8549-2
0-8330-8547-6 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Cover; Title Page; Copyright; Preface; Contents; Figures; Summary; Acknowledgments; Abbreviations; Chapter One: Introduction; Project Goals; What Determines Value for Health Care Products?; Chapter Two: The Context for Medical Product Innovation; Three Stages of Innovation; Primary Actors in Inventing Medical Products; Drug and Device Companies; HIT Companies; Goals of Medical Product Inventors; Private Investors; Financial Incentives of Medical Product Inventors; Influencers of Medical Product Invention; National Institutes of Health; U.S. Food and Drug Administration
U.S. Patent and Trademark Office Office of the National Coordinator for Health Information Technology; Primary Actor and Influencers in Approval of Medical Technologies; Primary Actors in Adoption of Medical Products; Physicians; Hospitals; Influencers of Providers; Summary: Context for Medical Product Innovation; Chapter Three: Methods; Literature Reviews; Technical Expert Panel; Expert Interviews; Case Studies; Policy Options; Chapter Four: Analysis; Lack of Basic Scientific Knowledge; Lack of an Adequate Knowledge Base Can Hinder Product Inventors Sources of Financial Support for Increasing Basic Scientific Knowledge Federal Funding Is Critical to Expanding the Basic Scientific Base; Case Study Summary: Haemophilus influenzae Type b (Hib) Vaccine; How Scientific Uncertainty Affects Medical Product Invention; Costs and Risks of FDA Approval; Could the FDA Ensure Safety with Quicker and Less Costly Processes?; Delays Entail Both Health and Financial Costs; Case Study Summary: A Cardiovascular Polypill; Unpredictability and Ineffective Communication Complicate the Approval Process; FDA Caution May Be a Root Cause of Regulatory Delay Case Study Summary: Avastin for Metastatic Breast Cancer Regulatory Risk Figures Prominently in Investment and Invention Decisions; How Regulatory Uncertainty Affects Investment and Invention; Limited Rewards for Medical Products That Could Lower Spending; Many Patients and Providers Are Fairly Insensitive to Prices; Generous Health Insurance Tends to Reduce Consumers' Sensitivity to Price; Fee-for-Service Payment Also Tends to Reduce Price Sensitivity; Lack of Price Transparency Also Reduces Price Sensitivity; Medicare Is Not Allowed to Consider Costs in Coverage and Reimbursement Decisions Limited Time Horizons and Fragmented Decision making Case Study Summary: Electronic Health Records; Inadequate Rewards for Products That Decrease Spending; Implications for Inventors and Investors; Treatment Creep; Case Study Summary: Implantable Cardioverter-Defibrillator; Manufacturers Can Promote Low-Value Use; Case Study Summary: Prostate-Specific Antigen; Defensive Medicine Is a Form of Treatment Creep; Off-Label Use of Medical Products Is Widespread, but Health Effects Are Unknown; It Is Difficult to Control Undesirable Instances of Off-Label Use Treatment Creep Can Substantially Affect Incentives for Innovators |
| Record Nr. | UNINA-9910220091803321 |
Garber Steven <1950->
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| Santa Monica, California : , : RAND Corporation, , 2014 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||