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How Do Different Types of HMOs Determine Access to New Medical Technology?

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How Do Different Types of HMOs Determine Access to New Medical Technology?

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Claudia Steiner, AHCPR Investigator. Managed care plans can affect access to, cost, and quality of health care through decisions about technology coverage. This study examines several aspects of managed care plans, the decision process for coverage of new medical technology including factors that alert plans to use of new medical technology, who is involved and has responsibility for final decisions, and what sources of information are used. Data are from a national survey of all member plans of Group Health Association of America and HMO plans of Blue Cross Blue Shield Association, between October 1993 and March 1994.

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