|About the book|
"A ground breaking set of case studies about how [health care] coverage decisions are made"
Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program
Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies.
This book contains:
* A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage
* An analysis of the role of interest groups, and of the public interest, in these decision making processes
* An examination of how particular technologies are treated differently by different countries, and why
Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest.
Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation.
Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.
|About the author|
Timothy Jost holds the Robert L. Willett Family Professorship of Law at the Washington and Lee University School of Law.
|Table of contents|
List of Contributors
2 Getting Value for Money: The Australian Experience
3 A Complex Taxonomy: Technology Assessment in Canadian Medicare
4 Evaluating New Health Technology in the English National Health Service
5 Benefit Decisions in German Social Insurance
6 Health Care Coverage in the Netherlands: The Dutch Drug Reimbursement System (GVS)
7 Health Care Coverage Determinations in Spain
8 Health Care Coverage Determinations in Switzerland
9 The Medicare Coverage Determination Process in the United States
10 What Can We Learn From Our Country Studies?