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Article: Cost-effectiveness and coverage policy. (Health Care Technology).
- Article from:
- Physician Executive
- Article date:
- May 1, 1999
- Author:
CopyrightCOPYRIGHT 1999 American College of Physician Executives. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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KEY CONCEPTS
* Cost-Effectiveness Analyses
* Medical Coverage Policy
* Cost-Effectiveness as a Coverage Criterion
Cost-effectiveness analyses have become a pervasive element of health care. But they have not had a major impact on medical coverage policy. The challenge of implementing cost-effectiveness as a medical coverage criterion is related to the following issues: (1) Contract language does not include cost-effectiveness as a coverage criterion; (2) cost-effectiveness analyses often take the societal, population-based perspective. while health care is delivered on an individual basis; (3) there is no standard methodology for ...