Diffusion of Medicare's RBRVS and related physician payment policies.
McCormack, Lauren A
Date of Pub
Burge, Russel T
In 1992, Medicare reformed its physician payment method by implementing the Medicare fee schedule (MFS), of which the resource-based
relative value scale (RBRVS) is a major component. Using a recent survey and case studies, we examine the diffusion of Medicare's
RBRVS to non-Medicare payers and how those payers use and perceive the RBRVS and MFS policies. We find that approximately
one-third of payers that participated in the survey have adopted RBRVS-based payment systems in varying degrees while another
40 percent were seriously considering its adoption. Prospects for expanded use of Medicare's RBRVS appear favorable.
Diffusion of Innovation : Fee Schedules : Relative Value Scales : Cost-Benefit Analysis : Health Services Research : Insurance,
Physician Services/statistics & numerical data/trends : Medicare Part B/organization & administration : Questionnaires : Reimbursement
Mechanisms/trends : Support, U.S. Gov't, Non-P.H.S. : United States