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MEDICARE PHYSICIAN PAYMENT REFORM: THE RESOURCE BASED RELATIVE VALUE SCALE.


10304. MEDICARE PHYSICIAN PAYMENT REFORM: THE RESOURCE BASED RELATIVE VALUE SCALE.

This paper examines Medicare physician payment reform. Following a brief overview of historical Medicare methods for reimbursing physicians,we will consider the rationalization for reform and review the steps taken by Congress and physician groups to effect the reform. The central components of the new system, including the Resource-Based Relative Value Scale (RBRVS), the geographical adjustment, the limitations on balanced billing, and the volume performance standard are explained and analyzed. Advantages and disadvantages to the new system are considered. Finally, the impact of the new system on physicans, hospitals and patients is considered. 15 pages, 32 footnotes, 16 bibliographic sources.
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