Document Detail


From medical invention to clinical practice: the reimbursement challenge facing new device procedures and technology--part 3: payment.
MedLine Citation:
PMID:  17412183     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper, the last of 3 that discuss the reimbursement challenges facing new medical device technology in various issues of this journal, addresses the structural diversity of Medicare's various payment systems. These systems vary widely in how they establish prices, how they incorporate new technologies and procedures, and the means by which they are updated and maintained. Their importance extends beyond Medicare because other payers use these payment rates as a basis for setting rates of their own. Device manufacturers and medical practitioners must often navigate several of these payment systems concurrently to ensure that technologies and procedures (that are already coded properly and covered) receive a fair payment rate. It is important to recognize that coverage can be undermined without adequate payment and that this situation will dampen further product innovation. The 3 papers, taken together, document the challenges posed by insurer reimbursement policies and show that a close working relationship between the manufacturers that develop new medical technologies and physician practitioners is needed if reimbursement hurdles are to be managed and medical innovation is to continue.
Authors:
G Gregory Raab; David H Parr
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American College of Radiology : JACR     Volume:  3     ISSN:  1558-349X     ISO Abbreviation:  J Am Coll Radiol     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2007-04-06     Completed Date:  2007-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101190326     Medline TA:  J Am Coll Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  842-50     Citation Subset:  IM    
Affiliation:
Raab & Associates, Inc., North Bethesda, MD. greg.raab@raab-associates.com <greg.raab@raab-associates.com>
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MeSH Terms
Descriptor/Qualifier:
Diffusion of Innovation*
Equipment and Supplies / economics*
Insurance, Health, Reimbursement / economics*
Medicare / economics*
Technology Assessment, Biomedical / economics*
Technology, Radiologic / economics*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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