Managed Care and the Evaluation and Adoption of Emerging Medical Technologies

By Steven Garber; M. Susan Ridgely et al. | Go to book overview
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Appendix C
DESCRIPTION OF INTERVIEWS WITH MANAGED
CARE ORGANIZATIONS

MEDICAL DEVICE ADOPTION IN MANAGED CARE SETTINGS
RAND Health
June 1999

Description of Interviews with Managed Care Organizations

The interview will take between 30 and 45 minutes.

The goal is to learn about your managed care organization's experience with coverage, payment, and medical necessity decisions involving new medical devices or significant changes in the use of a particular technology. While the project focus is on decisions by managed care organizations (MCOs) such as yours, we are also interested in decisions by other organizations—for example, manufacturers, medical groups, hospitals, HCFA, and employers—that affect the use of devices in treating your enrollees.

Using specific devices with which you are particularly familiar as an organizing tool, we will ask you a series of questions about your coverage decision making processes (including the coverage, payment, and medical necessity decisions) as a way of understanding how new technologies come to your attention, how you make coverage decisions, who is involved, what information you rely on, what criteria or considerations are involved, and how these decisions are implemented.

RAND will strictly protect the confidentiality of any sensitive or proprietary information supplied by the people we interview. Such in

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