The use of technology assessment by hospitals, health maintenance organizations, and third-party payers in the United States.

TitleThe use of technology assessment by hospitals, health maintenance organizations, and third-party payers in the United States.
Publication TypeJournal Article
Year of Publication1995
AuthorsLuce BR, Brown RE
JournalInternational journal of technology assessment in health care
Volume11
Issue1
Pagination79-92
Date Published1995 Winter
ISSN0266-4623
KeywordsDecision Making, Organizational; Health Maintenance Organizations; Hospital Administration; Insurance, Health; Purchasing, Hospital; Technology Assessment, Biomedical; United States
AbstractA case study design was used to determine the reliance on technology assessment of decisionmakers in hospitals, health maintenance organizations (HMOs), and third-party payers. Thirty different organizations were contacted and semistructured interviews conducted. The study found that hospitals, HMOs, and insurers are conducting technology assessments, but the form and sophistication of these analyses range widely. Hospitals are particularly focused on traditional financial analyses ("prudent purchasing") with the exception of pharmacy committees, which generally conduct more sophisticated socio-economic analyses. HMOs and insurers conduct outcome assessments for coverage of expensive or controversial technologies but exclude economics. Technology assessment will become increasingly important in resource allocation decision making and it is in the interest of technology providers to foster better information, a more comprehensive assessment process, and a more efficient assessment system.
Alternate JournalInt J Technol Assess Health Care