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Refinement and expansion of the Harvard Resource-Based Relative Value Scale: the second phase
1Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115.
American Journal of Public Health
|July 1, 1990
Summary
The Harvard resource-based relative value scale (RBRVS) provides a reliable method for measuring physician service costs. This validated approach supports national payment policies and fee schedules for physician services.
Area of Science:
- Health Economics
- Medical Policy
Background:
- The Harvard resource-based relative value scale (RBRVS) is central to physician payment reform.
- The study established a systematic and valid method for measuring the relative resource costs of physician services.
Discussion:
- This paper reviews the RBRVS study and addresses criticisms from Dr. Laurence F. McMahon, Jr. and others.
- The RBRVS offers a viable foundation for national payment policy, including fee schedules and identifying mispriced procedures.
Key Insights:
- The RBRVS demonstrates a rational and systematic approach to defining and measuring physician service costs.
- The methodology is reliable and valid, supporting its use in national payment policy.
Outlook:
- Ongoing research aims to expand and validate the RBRVS.
- Future work will address key criticisms and limitations to refine the RBRVS for broader application.