In this 2000–2001 project, Linda Bergthold, PhD, and researchers at Stanford University, Stanford, Calif., surveyed health plan medical directors in 48 states about medical necessity decision making. The study provides input for policy-making at the state and national levels.
The project was part of the Robert Wood Johnson Foundation (RWJF) Changes in Health Care Financing and Organization (HCFO) national program.
As the project came to a close, researchers tested the findings among attendees of a research dissemination conference funded by the federal Agency for Healthcare Research and Quality. They asked the attendees to consider the findings, discuss their day-to-day implications and outline potential policy initiatives.
Researchers reported the following findings: