FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 330:498-500 February 17, 1994 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

The United States is unique among nations in having private companies run its health insurance system, handle claims, and make determinations about coverage. Over the past 20 years, American physicians have increasingly felt the effects of competition among these companies to minimize the risks they cover and the claims they pay¹. However, the critera for decisions by insurance companies have gone largely unexamined. In this issue of the Journal, new evidence and an inside account shed light on the ways in which insurance companies decide when and when not to pay for costly medical treatments that may benefit very . . . [Full Text of this Article]

References

Related Letters:

. . . And How the Decisions Are Made
Danovitch G. M., Wilkinson A., Rosenthal J. T., Zimecki M. W., Levenback C., Pader E., Hubbard R., Boren S. D.
Extract | Full Text  
N Engl J Med 1994; 331:331-332, Aug 4, 1994. Correspondence

This article has been cited by other articles:

• Bodenheimer, T. (2005). High and Rising Health Care Costs. Part 3: The Role of Health Care Providers. ANN INTERN MED 142: 996-1002 [Abstract] [Full Text]  
• King, N. M. P. (2000). Defining and Describing Benefit Appropriately in Clinical Trials. J Law Med Ethics 28: 332-343  
• Bodenheimer, T., Casalino, L. (1999). Executives with White Coats -- The Work and World View of Managed-Care Medical Directors- First of Two Parts. NEJM 341: 1945-1948 [Full Text]  
• Finkelstein, B. S., Silvers, J. B., Marrero, U., Neuhauser, D., Cuttler, L. (1998). Insurance Coverage, Physician Recommendations, and Access to Emerging Treatments: Growth Hormone Therapy for Childhood Short Stature. JAMA 279: 663-668 [Abstract] [Full Text]  
• Barer, M. L. (1995). So Near, and Yet So Far: A Canadian Perspective on U.S. Health Care Reform. Journal of Health Politics, Policy and Law 20: 463-476  
• Danovitch, G. M., Wilkinson, A., Rosenthal, J. T., Zimecki, M. W., Levenback, C., Pader, E., Hubbard, R., Boren, S. D. (1994). . . . And How the Decisions Are Made. NEJM 331: 331-332 [Full Text]