All FSI Projects
June 25, 1998 - February 25, 1999 and January 1, 1999 - August 31, 1999
Decreasing Variation in Medical Necessity Decision-Making
Researchers
The goals of this study are:
- to describe for consumers, providers and policymakers how health plans and medical groups (i.e., multi-specialty groups, IPAs, etc.) in California define and use medical necessity in coverage decision making
- to understand what works and what does not and to make practical recommendations for change and
- to reduce variation and inconsistency in the decision making process.