Medicare's enduring struggle to define "reasonable and necessary" care.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 23113832.
- Also identified by DOI 10.1056/NEJMp1208386.
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Abstract
Medicare legislation mandates that the program not pay for items and services that are not "reasonable and necessary" - terms that are open to interpretation and easily politicized. In today's fiscal environment, "reasonable and necessary" warrants a closer look.
Medical subject headings
- Eligibility Determination
- Government Regulation
- Medicare