Health Affairs

Health Affairs, 26, no. 6 (2007): 1634-1642 doi: 10.1377/hlthaff.26.6.1634 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Evidence-Based Medicine

Implementing Evidence-Based Medicine Through Medicare Coverage Decisions

Susan Bartlett Foote and Robert J. Town

Management of technology diffusion to improve quality and constrain spending in health care remains an elusive goal. Along with efforts to improve the quality of evidence, providers and payers must ensure that evidence actually effects changes in practice. Medicare coverage policies grant, limit, and condition payment based on evidentiary standards. This paper identifies the sizable barriers to implementation of evidence-based medicine in Medicare and proposes policy solutions to address them.

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