Appropriate and necessary healthcare: New language for a new era

Charles N Oberg, Linda L. Bosse, Steven R. Mosow, Marilyn L. Bach

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Conceptual and language changes are necessary to accompany the paradigm shift from fee-for-service medicine to managed care. Medical necessity is an inadequate and ambiguous term defined differently by providers, payers, patients, and legislators. The attempt by legislators in Minnesota to develop a universal standard benefits set for healthcare services strikingly underscores the need to define relevant terminology to accompany the transition to managed care. We suggest the term appropriate and necessary healthcare as a state-of-the-art term for the new era of managed care.

Original languageEnglish (US)
Pages (from-to)423-428
Number of pages6
JournalAmerican Journal of Managed Care
Volume3
Issue number3
StatePublished - Dec 1 1997

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