Health Care Coverage Determinations
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Health Care Coverage Determinations

Health Care Coverage Determinations


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About the Book

“a ground breaking set of case studies about how [health care] coverage decisions are made” Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare programDeveloped countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: ·A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage ·An analysis of the role of interest groups, and of the public interest, in these decision making processes ·An examination of how particular technologies are treated differently by different countries, and whyBased upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest.Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation.Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

Table of Contents:
List of Contributors 1Introduction 2Getting Value for Money: The Australian Experience 3A Complex Taxonomy: Technology Assessment in Canadian Medicare 4Evaluating New Health Technology in the English National Health Service 5Benefit Decisions in German Social Insurance 6Health Care Coverage in the Netherlands: The Dutch Drug Reimbursement System (GVS) 7Health Care Coverage Determinations in Spain 8Health Care Coverage Determinations in Switzerland 9The Medicare Coverage Determination Process in the United States 10What Can We Learn From Our Country Studies? 11Conclusion

About the Author :
Timothy Jost holds the Robert L. Willett Family Professorship of Law at the Washington and Lee University School of Law.


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Product Details
  • ISBN-13: 9780335214969
  • Publisher: Open University Press
  • Publisher Imprint: Open University Press
  • Height: 224 mm
  • Returnable: N
  • Weight: 490 gr
  • ISBN-10: 0335214967
  • Publisher Date: 16 Dec 2004
  • Binding: Hardback
  • Language: English
  • Spine Width: 23 mm
  • Width: 137 mm


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