on Facebook
on Twitter
on YouTube
Document Information
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 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.
See Also:
News Release
Executive Summary
Read MoreRead More
Support RAND Research — Buy This Product!
Paperback Cover Price: $17.50
Discounted Web Price: $15.75
Pages: 88
ISBN/EAN: 0-8330-2831-6
Free, downloadable PDF file(s) are available below.
RAND makes an electronic version of this document available for free as a public service. If you find this information valuable, please consider purchasing a paper copy of the full document to help support RAND research.
Use Adobe Acrobat Reader version 7.0 or higher for the best experience.
Contents
Preface PDF
Summary PDF
Acknowledgments PDF
Chapter One:
Introduction PDF
Chapter Two:
Technology-Adoption Decisions by MCOs: An Overview PDF
Chapter Three:
How Device Manufacturers See the System PDF
Chapter Four:
How MCO Medical Directors See the System PDF
Chapter Five:
Advice for Manufacturers PDF
Chapter Six:
How Might Technology Adoption be Improved? PDF
Appendix A:
Project Description for Prospective Interview Respondents PDF
Appendix B:
Description of Interviews with Device Manufacturers PDF
Appendix C:
Description of Interviews with Managed Care Organizations PDF
References PDF
The study was conducted within RAND Health.
The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
* RAND research is conducted across divisions, centers, and projects; these organizational components are represented in the "Related RAND Divisions" section above.
Top
RAND® is a registered trademark. Copyright © 1994-2009 RAND Corporation. Last Modified: December 07, 2007 