Key result
Benefit design and medical management have the potential to contribute to priority setting in the allocation of medical care resources in the context of evidence-based medicine.
Discusses the potential for benefit design and medical management to contribute to priority setting in medical care allocation based on a 2003 roundtable.
May inform benefit design for resource allocation; leaves open rigorous contemporary validation.
As health care costs continue to increase, so does the importance of setting priorities in the allocation of medical care resources. Based on a November 2003 roundtable, this paper discusses the potential for benefit design (the definition of covered benefits) and medical management (the criteria by which benefits are applied to specific patients) to contribute to priority setting, particularly in the context of increasing emphasis on evidence-based medicine.
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Jill M. Yegian (2004) conducted a review in Health care resource allocation. Benefit design and medical management was evaluated. Benefit design and medical management have the potential to contribute to priority setting in the allocation of medical care resources in the context of evidence-based medicine.
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