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Managed care and the evaluation and adoption of emerging medical technologies /

New medical technologies--pharmaceuticals, medical devices, and procedures--often allow great improvements in the outcomes of medical care, but they are also widely believed to be a major cause of increasing costs. Selective adoption of new technologies is crucial in the quest to control health care...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Garber, Steven
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Santa Monica, CA : RAND, 2000.
Colección:Rand ; MR-1195-HIMA.
Temas:
Acceso en línea:Texto completo

MARC

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245 0 0 |a Managed care and the evaluation and adoption of emerging medical technologies /  |c Steven Garber [and others]. 
246 3 0 |a Evaluation and adoption of emerging medical technologies 
246 3 0 |a Emerging medical technologies 
260 |a Santa Monica, CA :  |b RAND,  |c 2000. 
300 |a 1 online resource (xviii, 70 pages) 
336 |a text  |b txt  |2 rdacontent 
337 |a computer  |b c  |2 rdamedia 
338 |a online resource  |b cr  |2 rdacarrier 
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490 1 |a MR / Rand Corporation ;  |v MR-1195-HIMA 
500 |a "The research ... supported by the Health Industry Manufactures Association, the California Goldstrike Partnership, and the U.S. Economic Development Administration." 
504 |a Includes bibliographical references (pages 65-70). 
505 0 |a Introduction -- Technology-Adoption Decisions by MCOs: An Overview -- How Device Manufacturers See the System -- How MCO Medical Directors See the System -- Advice for Manufacturers -- How Might Technology Adoption be Improved? -- Appendix A: Project Description for Prospective Interview Respondents -- Appendix B: Description of Interviews with Device Manufacturers -- Appendix C: Description of Interviews with Managed Care Organizations -- References. 
520 |a New medical technologies--pharmaceuticals, medical devices, and procedures--often allow great improvements in the outcomes of medical care, but they are also widely believed to be a major cause of increasing costs. Selective adoption of new technologies is crucial in the quest to control health care costs while preserving or enhancing the quality of care. This report focuses on evaluation and adoption of innovative procedures and medical devices by managed care organizations (MCOs). The project had two primary objectives: (1) to understand current MCO processes for making coverage, medical-necessity, and payment decisions and how device developers and manufacturers prepare for and participate in these processes; and (2) to identify ways that private, voluntary action by the managed-care and medical-device industries might improve--for the benefit of society--these processes. The core data are from confidential interviews with eight companies that develop and manufacture medical devices and medical directors of nine MCOs. The findings should be of interest to medical-device developers and manufacturers, managed care organizations, public-policy makers, and researchers and analysts. A major impediment to socially appropriate adoption of emerging medical technologies is limited information about the performance of these technologies in day-to-day medical practice. The authors discuss prospects for improving four elements of information availability: --Developing better information before market introduction --Learning more from experience after market introduction --Evaluating and synthesizing clinical information --Disseminating information. They also discuss several 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. 
588 0 |a Print version record. 
546 |a English. 
590 |a ProQuest Ebook Central  |b Ebook Central Academic Complete 
650 0 |a Managed care plans (Medical care) 
650 0 |a Medical technology  |x Effect of managed care on  |z United States. 
650 0 |a Medical instruments and apparatus  |z United States  |x Marketing. 
650 0 |a Medical innovations. 
650 0 |a Health maintenance organizations. 
650 0 |a Medical technology. 
650 1 2 |a Health Maintenance Organizations 
650 1 2 |a Managed Care Programs 
650 1 2 |a Medical Laboratory Science 
650 6 |a Soins intégrés de santé. 
650 6 |a Technologie médicale  |x Effets des soins intégrés de santé sur  |z États-Unis. 
650 6 |a Médecine  |x Innovations. 
650 6 |a Assurance-maladie à prépaiement. 
650 6 |a Technologie médicale. 
650 7 |a Medical technology  |2 fast 
650 7 |a Health maintenance organizations  |2 fast 
650 7 |a Managed care plans (Medical care)  |2 fast 
650 7 |a Medical innovations  |2 fast 
650 7 |a Medical instruments and apparatus  |x Marketing  |2 fast 
650 7 |a Medical technology  |x Effect of managed care on  |2 fast 
651 7 |a United States  |2 fast  |1 https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq 
700 1 |a Garber, Steven. 
776 0 8 |i Print version:  |t Managed care and the evaluation and adoption of emerging medical technologies.  |d Santa Monica, CA : RAND, 2000  |w (DLC) 00267383 
830 0 |a Rand ;  |v MR-1195-HIMA. 
856 4 0 |u https://ebookcentral.uam.elogim.com/lib/uam-ebooks/detail.action?docID=3031503  |z Texto completo 
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