In a world of growing healthcare costs, 3rd party providers have GREAT power in determining "medical necessity". I have worked at a hospital, and we have come across the issue one too many times; hospitals "write-off" millions of dollars of care in order to stay accredited, ultimately increasing the average healthy person's insurance premium as compensation.There is no generally accepted definition of "medical necessity" when applied to a SPECIFIC procedure, nor is there a consensus as to WHO determines it. The traditional role of health care providers in determining the most appropriate treatment for our patients
