ROLE OF TECHNOLOGY-ASSESSMENT IN HEALTH BENEFITS COVERAGE FOR MEDICALDEVICES

With the profusion of new medical technology, managed care organizatio ns are faced with the challenge of determining which medical devices a nd services warrant health benefits coverage. To aid in this decision- making process, managed care companies turn to technology assessment, a process that differs from the Food and Drug Administration's review of medical devices, Health plans typically use a structured approach t o implementing coverage requirements in employer group benefits contra cts and use technology assessment to evaluate the scientific evidence of effectiveness to support coverage decisions. Also important is the societal context for decisions regarding coverage for new technologies and the options being considered by policy makers for accountability in technology assessment by private insurers and health plans.