The use and misuse of relative value scales under Medicare

The Medical Staff Counselor
|March 5, 1990
PubMed

Insights

Medicare is reviving the relative value scale (RVS) for physician reimbursement, starting with anesthesia and potentially expanding to radiology and pathology. A modified resource-based RVS is predicted for all Medicare physician services soon.

Area of Science:

  • Health Economics
  • Medical Policy

Background:

  • The concept of a relative value scale (RVS) for Medicare reimbursement has faced previous challenges.
  • Medicare has already implemented a modified RVS for anesthesia services.

Purpose of the Study:

  • To predict the future adoption of a resource-based RVS for Medicare physician services.
  • To analyze the trend of RVS implementation in healthcare reimbursement.

Main Methods:

  • Analysis of current Medicare reimbursement trends.
  • Projection of future policy adoption based on existing initiatives.

Main Results:

  • A modified RVS program is already in place for anesthesia.
  • RVS programs for radiology and pathology are anticipated within the year.

Conclusions:

  • A modified resource-based RVS is predicted to be adopted for all Medicare physician services in the coming years.
  • The RVS is poised to become a primary mechanism for Medicare reimbursement.

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