Background Paper

Medicare Coverage: Lessons from the Past, Questions for the Future
August 2001

Author

Robin J. Strongin, Consultant

Summary

This paper describes the Medicare coverage process for emerging technologies and the ways it has changed over time. Issues addressed include both the national coverage process and local medical review policies, which account for 90 percent of the coverage determinations. The paper also includes a discussion of the relationship between the coverage process and technology assessment, payment systems and the ongoing debate over coverage criteria and levels of evidence.

Related Materials

See also the entry for the related Forum Session.

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