ABSTRACT

This book explains how clinical guidelines might be used to define health care needs and basic benefits. It discusses certain technical issues of the model proposal, including the importance of considering both health outcome evidence and patient and public preferences.

part One|29 pages

The Model Proposal: Designing Basic Benefit Plans Using Clinical Guidelines

chapter 1|10 pages

Defining Our Terms

chapter 2|14 pages

Necessary-Care Guidelines

chapter 3|3 pages

The Model Proposal

part Two|110 pages

Analysis of the Model Proposal

chapter 4|12 pages

Ethical Considerations

chapter 5|14 pages

Response to Callahan

chapter 6|18 pages

Technical Considerations

chapter 7|18 pages

Response to Kaplan

chapter 10|12 pages

Response to Greely and Havighurst

part Three|17 pages

Counterpoint: The Oregon Medicaid Experiment