Concepedia

Evidence-based Coverage Determination

Evidence-Based Coverage Determination is a formal decision-making process within health policy and insurance administration that belongs to the class of coverage determination methods, distinguished by its systematic reliance on clinical evidence, scientific research, and established medical guidelines to evaluate the appropriateness, efficacy, and medical necessity of healthcare interventions for reimbursement eligibility.

26

Publications

1.7K

Citations

94

Authors

55

Institutions

Publications per year

2017–2026

5

Parents

Publications

26

Using Effectiveness and Cost-effectiveness to Make Drug Coverage Decisions

Fiona Clement, Anthony Harris, Jing Jing Li et al. · JAMA · 2009 · 340 citations

, , +14

Centralized Drug Review Processes In Australia, Canada, New Zealand, And The United Kingdom

Steven G. Morgan, Meghan McMahon, Craig Mitton et al. · Health Affairs · 2006 · 186 citations

, , +16

Coverage with Evidence Development: An examination of conceptual and policy issues

John Hutton, Paul Trueman, Christopher Henshall · International Journal of Technology Assessment in Health Care · 2007 · 144 citations · Full text

, , +17

Coverage with Evidence Development, Only in Research, Risk Sharing, or Patient Access Scheme? A Framework for Coverage Decisions

Simon Walker, Mark Sculpher, Karl Claxton et al. · Value in Health · 2012 · 143 citations · Full text

, , +17

Evidence Based? Caveat Emptor!

Earl P. Steinberg, Bryan R. Luce · Health Affairs · 2005 · 108 citations

, , +17

1–5 of 26

Authors

94

  1. RB
    Reinhard Busse

    Technische Universität Berlin, Germany

    3 publications · 96 citations

    3

    h-index

  2. DM
    David M. Eddy

    Duke University, United States

    2 publications · 48 citations

    2

    h-index

  3. VR
    Vivian Reckers‐Droog

    Erasmus University Rotterdam, Netherlands

    2 publications · 43 citations

    2

    h-index

  4. WB
    Werner Brouwer

    Erasmus University Rotterdam, Netherlands

    2 publications · 43 citations

    2

    h-index

  5. KY
    Karen Yong

    Monash University, Australia

    2 publications · 356 citations

    2

    h-index

1–5 of 94

Institutions

55

  1. University of York

    York, United Kingdom

    3 h-index

    8 publications

    1K citations

  2. Brunel University of London

    London, United Kingdom

    2 h-index

    3 publications

    153 citations

  3. University of Warwick

    Coventry, United Kingdom

    2 h-index

    2 publications

    43 citations

  4. Technische Universität Berlin

    Berlin, Germany

    2 h-index

    7 publications

    304 citations

  5. Syreon Research Institute (Hungary)

    Budapest, Hungary

    2 h-index

    6 publications

    110 citations

  6. Gemeinsamer Bundesausschuss

    Berlin, Germany

    2 h-index

    4 publications

    138 citations

  7. Erasmus University Rotterdam

    Rotterdam, The Netherlands

    2 h-index

    4 publications

    86 citations

  8. Bocconi University

    Milan, Italy

    2 h-index

    3 publications

    74 citations

1–8 of 55

Venues

  1. Health Affairs

    6 publications · 478 citations

    6

    h-index

  2. JAMA

    3 publications · 388 citations

    3

    h-index

  3. 2

    h-index

  4. Health Policy

    2 publications · 37 citations

    2

    h-index

  5. Medical Care

    2 publications · 70 citations

    2

    h-index

1–5