An Overview of the Development and Refinement of the Resource-Based Relative Value Scale The Foundation for Reform of U.S. Physician Payment

Responding to distortions in payment rates between services, policymakers in the United States have sought a systematic and rational foundation for determining physician fees. One such approach to paying physicians, the Resource-Based Relative Value Scale (RBRVS), determines fees by measuring the relative resource costs required to produce them. On January 1, 1992, the Medicare program implemented a new payment system for physician services based on the RBRVS. This article provides a brief history of the RBRVS and a summary of the methods and data used to derive it. This overview represents the culmination of 6 years of research by the Harvard RBRVS study team and provides a road map to the study's concepts and definitions. The overview also provides a context for the articles in this issue that describe five major studies undertaken since 1988. The study's overall results are presented in the last article of the series

Art · Humanities · Religion and Society in Latin America · Religious and Theological Studies · Theology and Canon Law Studies

• The Implications of Regional Variations in Medicare Spending. Part 2

  Open Access•Elliott S Fisher, David E Wennberg et al.•Annals of Internal Medicine•2003

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• The Implications of Regional Variations in Medicare Spending. Part 1

  Open Access•Elliott S Fisher, David E Wennberg et al.•Annals of Internal Medicine•2003

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• The work relative value estimation assessment in China

  Open Access•Jin Hao, Han Yao et al.•Frontiers in Public Health•2024

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• Globalization and Health Policy in Korea

  Open Access•Soonman Kwon•Global Social Policy•2002

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• Setting health care services tariffs in Iran

  Open Access•Leila Doshmangir, Arash Rashidian et al.•International Journal for Equity…•2020

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• Pilot study comparing patients’ valuation of health‐care services with Medicare’s relative value units

  Open Access•Steven J Kravet, Heather Jones et al.•Health Expectations•2008

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• The Effects of Payment Method on Clinical Decision-Making

  Joannie Shen, Ronald Andersen et al.•Medical Care•2004

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• Cost of Breast-Related Care in the Year Following False Positive Screening Mammograms

  Jessica Chubak, Denise M Boudreau et al.•Medical Care•2010

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