HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Related articles in AJPH Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Anderson, G F Articles by Steinberg, E P Search for Related Content PubMed PubMed Citation Articles by Anderson, G F Articles by Steinberg, E P

Medical technology assessment and practice guidelines: their day in court.

G F Anderson, M A Hall and E P Steinberg

School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD.

There is the expectation that outcomes research and the promulgation of medical practice guidelines will be able to identify and hopefully reduce the amount of unnecessary or inappropriate medical care through a variety of methods, including utilization review. However, past efforts by public and private insurers to deny claims on the basis of formal technology assessments or practice guidelines have frequently been overturned by the courts for multifarious reasons. This paper examines the court's reluctance to accept a variety of technology assessment methods in coverage policy decisions. The paper reviews the options that have been proposed to restrict judicial involvement in the formulation of coverage policy and then proposes a new option that employs a more precise taxonomy of medical practice assessment.

Related articles in AJPH:

Medical technology assessment--intended for whom?

W K Mariner
AJPH 1993 83: 1525-1526. [PDF]  

This article has been cited by other articles:

				E. H. Morreim Quality of Life: Erosions and Opportunities Under Managed Care J. Law Med. Ethics, June 1, 2000; 28(2): 144 - 158. [PDF]

				B. A. Liang Error in Medicine: Legal Impediments to U.S. Reform Journal of Health Politics Policy and Law, January 1, 1999; 24(1): 27 - 58. [Abstract] [PDF]

				P. D. Jacobson and C. J. Rosenquist The Use of Low-Osmolar Contrast Agents: Technological Change and Defensive Medicine Journal of Health Politics Policy and Law, June 1, 1996; 21(2): 243 - 266. [Abstract] [PDF]

				W. K. Mariner Business vs. Medical Ethics: Conflicting Standards for Managed Care J. Law Med. Ethics, September 1, 1995; 23(3): 236 - 246. [PDF]