G2TT
来源类型Research Reports
规范类型报告
来源IDRR-395-1-DIR
Implementing a Resource-Based Relative Value Scale Fee Schedule for Physician Services: An Assessment of Policy Options for the California Workers' Compensation Program
Barbara O. Wynn; Harry H. Liu; Andrew W. Mulcahy; Edward N. Okeke; Neema Iyer; Lawrence S. Painter
发表日期2014
出版年2014
页码214
语种英语
结论

The Resource-Based Relative Value Scale Addresses Major Shortcomings in the Current System

  • The Official Medical Fee Schedule uses outdated procedure codes to describe medical services. The percentage of payments that would be using fee-schedule rates would increase from 90 percent to 96 percent. This percentage would increase with improved coding and less-frequent use of unlisted procedure codes.
  • The relative values in the current fee schedule are based on historical charges. The resource-based relative value scale reflects the resources (costs) required to furnish services and would offer budget-neutral incentives for providing services.
  • The current fee schedule does not provide for regular updates for changes in coding, practice patterns, or inflation. Linking the Official Medical Fee Schedule to the Medicare Physician Fee Schedule would provide a mechanism for annual updates.
  • Over the four-year period, total allowable fees are estimated to increase 11.9 percent.
  • Because most specialties furnish a range of services, the impacts by specialty are generally less than the impacts by type of service.
主题California ; Health Care Costs ; Health Economics ; Medical Professionals ; Medicare ; Workers' Compensation
URLhttps://www.rand.org/pubs/research_reports/RR395-1.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/107679
推荐引用方式
GB/T 7714
Barbara O. Wynn,Harry H. Liu,Andrew W. Mulcahy,et al. Implementing a Resource-Based Relative Value Scale Fee Schedule for Physician Services: An Assessment of Policy Options for the California Workers' Compensation Program. 2014.
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