What's the Appeal? Trying to Control Managed Care Medical Necessity Decisionmaking Through a System of External Appeals
Kesselheim, Aaron Seth
University of Pennsylvania Law Review 2001 January; 149(3): 873-920
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Where Cost, Medical Necessity, and Morality Meet: Should US Government Insurance Programs Pay for Erectile Dysfunction Drugs? Polinski, J M; Kesselheim, A S (2011-01)Spending for the three most popular phosphodiesterase (PDE) inhibitor drugs to treat erectile dysfunction (ED) tops $1 billion worldwide annually. Using Medicaid and Medicare Part D as examples, we explore here whether US ...