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Measuring input prices for physicians: the revised Medicare Economic Index.

M S Freeland, G S Chulis, R H Arnett

    Health Care Financing Review
    |February 3, 1992
    PubMed
    Summary

    The Medicare Economic Index (MEI), crucial for physician payment reform since 1975, needs updating. This index impacts Medicare Part B payments and future physician payment systems.

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    Area of Science:

    • Health Economics
    • Public Policy
    • Medical Economics

    Background:

    • Medicare Part B historically capped physician service charges using the Medicare Economic Index (MEI).
    • The MEI, an input price index for physician services, includes an adjustment for economywide labor productivity.
    • The MEI has not been significantly revised since 1975.

    Purpose of the Study:

    • To highlight the critical role of the MEI in determining Medicare physician payment systems.
    • To underscore the importance of the MEI's upcoming use in the revised physician payment system starting in 1992.
    • To emphasize the MEI's function in setting annual changes to payment conversion factors.

    Main Methods:

    • Analysis of the historical role of the Medicare Economic Index (MEI) in Medicare physician payments.

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  • Examination of the MEI's components, including its adjustment for economywide labor productivity.
  • Review of the MEI's significance in the context of the impending 1992 Medicare physician payment reform.
  • Main Results:

    • The MEI has been a primary tool for restraining Medicare payments for physician services.
    • The MEI's structure, unchanged since 1975, influences the volume performance standard for aggregate payment increases.
    • The MEI is integral to the new physician payment system, affecting annual adjustments to payment conversion factors.

    Conclusions:

    • The Medicare Economic Index (MEI) is a foundational element in Medicare physician payment policy.
    • The MEI's long-standing structure necessitates consideration for future revisions to accurately reflect economic changes.
    • The MEI's role in the upcoming 1992 payment system underscores its continued importance in physician reimbursement.