A sub rosa world: Medicare and the cost of new technology
by Jacqueline R. Fox
International Journal of Healthcare Technology and Management (IJHTM), Vol. 12, No. 3/4, 2011

Abstract: The cost of medical care, particularly new medical technologies, continues to rise. This article examines how Medicare struggles to confront the challenge of shaping coverage decisions for expensive new technologies in light of political pressure to restrain cost, imperfect information about the effectiveness of new technologies, and a limited scope of power for how these decisions can be made. This article argues that, while these coverage decisions must be made with express reference to evidence of effectiveness, the interpretation of this evidence is distorted by hidden cost concerns by both Medicare and those who seek coverage.

Online publication date: Sat, 28-Mar-2015

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