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Special report. HCFA hikes conversion factor to $31.001, adopts 77 other pay policies for RVS era
Insights
This report details the final Medicare resource-based relative value fee schedule for U.S. physicians. The Health Care Financing Administration (HCFA) finalized this important policy after public comment.
Area of Science:
- Health Policy
- Medical Economics
Context:
- The Health Care Financing Administration (HCFA) developed a resource-based relative value fee schedule.
- This schedule impacts nearly all 500,000 private practice physicians in the United States.
Purpose:
- To summarize the key provisions of the final Medicare fee schedule.
- To inform stakeholders about the finalized payment structure for physicians.
Summary:
- The final Medicare resource-based relative value fee schedule is detailed.
- Publication is slated for the November 25 Federal Register.
- HCFA issued the final schedule following review of 95,000 public comments on the proposed version.
Impact:
- Provides a standardized payment system for physicians under Medicare.
- Affects the financial operations of a significant portion of the U.S. physician workforce.
- Represents a major policy shift in physician reimbursement.
Abstract:
This Health Policy Week Special Report summarizes provisions of the final Medicare resource-based relative value fee schedule, slated for publication in the Nov. 25 Federal Register. The fee schedule applies to virtually all 500,000 private practice physicians in the U.S. The Health Care Financing Administration (HCFA) issued the fee schedule after reviewing 95,000 comments on the proposed version (HPW 6/10/91).