Results and Impacts of the Resource-Based Relative Value Scale

On January 1, 1992, the Health Care Financing Administration implemented the 1989 legislation reforming the Medicare payment system for physicians' services. The cornerstone of the new payment reform is the Medicare Fee Schedule (MFS), which is based on the Resource-Based Relative Value Scale (RBRVS). In this article, the major findings of the RBRVS study and its impacts on physician payment are summarized. The authors report the impacts of a RBRVS-based fee schedule on Medicare fees and physicians' income if it were fully implemented, assuming budget neutrality and absence of volume changes in services. Under this scenario, fees for evaluation and management services increase by 15% to 45%, while fees for invasive services and diagnostic tests decrease by 20% to 30%. These changes increase the Medicare income of family practitioners by more than 30% while decreasing the income of most surgical specialties by 10% to 20

Actuarial science · Business · Cornerstone · Economic growth · Economics · Geography · Health care · Legislation · Medicare Part B · Payment · Public economics · Resource-based relative value scale · Scale (ratio) · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Primary Care and Health Outcomes

• Validating the Resource-Based Relative Value Scale

  Daniel L Dunn, Edmund R Becker•Medical Care•1995

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• Statistical principles in experimental design.

  B J Winer•1962

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