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The Resource-Based Relative Value Scale for Physician Compensation Under Medicare: Implications for Ophthalmology

The Resource-Based Relative Value Scale for Physician Compensation Under Medicare: Implications... Abstract The long-awaited report by Hsiao and colleagues1-4 was recently released and has been published in national medical journals. It details the conclusions of a governmentally appointed commission to study a resource-based, relative value scale for Medicare reimbursement of physician services. If adopted, the commission's recommendations would have important implications regarding the compensation of physicians in general and ophthalmologists in particular. Indeed, in the original release, it was indicated that ophthalmology might witness a 40% decline in Medicare revenues.3 At the time of this writing, data were not available to determine the basis for this projection. However, limited information has been published and may be examined.2 Because even the anticipation of the release of the study had induced substantial concern and controversy, its genesis, methodology, and possible impact on ophthalmology bear discussion. GENESIS OF THE STUDY Under a mandate from Congress, the Physician Payment Review Commission, an advisory References 1. Hsiao WC, Braun P, Dunn D, et al: Resource-based relative values: An overview . JAMA 1988;260:2347-2353.Crossref 2. Hsiao WC, Braun P, Kelly NL, et al: Results, potential effects, and implementation issues of the Resource-Based Relative Value Scale . JAMA 1988;260:2361-2370.Crossref 3. Hsiao WC, Braun P, Dunn D, et al: Results and policy implications of the Resource-Based Relative-Value Study . N Engl J Med 1988;319:881-888.Crossref 4. Hsiao WC, Braun P, Yntema D, et al: Estimating physicians' work for a Resource-Based Relative-Value Scale . N Engl J Med 1988;319:835-841.Crossref 5. Roper WL: Perspectives on physician-payment reform: The Resource-Based Relative Value Scale in context . N Engl J Med 1988;319:865-867.Crossref 6. Frenkel M: Discount purchasing for Medicare . J Med Pract Manage 1988;3:225-227. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

The Resource-Based Relative Value Scale for Physician Compensation Under Medicare: Implications for Ophthalmology

Archives of Ophthalmology , Volume 106 (12) – Dec 1, 1988

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140841022
Publisher site
See Article on Publisher Site

Abstract

Abstract The long-awaited report by Hsiao and colleagues1-4 was recently released and has been published in national medical journals. It details the conclusions of a governmentally appointed commission to study a resource-based, relative value scale for Medicare reimbursement of physician services. If adopted, the commission's recommendations would have important implications regarding the compensation of physicians in general and ophthalmologists in particular. Indeed, in the original release, it was indicated that ophthalmology might witness a 40% decline in Medicare revenues.3 At the time of this writing, data were not available to determine the basis for this projection. However, limited information has been published and may be examined.2 Because even the anticipation of the release of the study had induced substantial concern and controversy, its genesis, methodology, and possible impact on ophthalmology bear discussion. GENESIS OF THE STUDY Under a mandate from Congress, the Physician Payment Review Commission, an advisory References 1. Hsiao WC, Braun P, Dunn D, et al: Resource-based relative values: An overview . JAMA 1988;260:2347-2353.Crossref 2. Hsiao WC, Braun P, Kelly NL, et al: Results, potential effects, and implementation issues of the Resource-Based Relative Value Scale . JAMA 1988;260:2361-2370.Crossref 3. Hsiao WC, Braun P, Dunn D, et al: Results and policy implications of the Resource-Based Relative-Value Study . N Engl J Med 1988;319:881-888.Crossref 4. Hsiao WC, Braun P, Yntema D, et al: Estimating physicians' work for a Resource-Based Relative-Value Scale . N Engl J Med 1988;319:835-841.Crossref 5. Roper WL: Perspectives on physician-payment reform: The Resource-Based Relative Value Scale in context . N Engl J Med 1988;319:865-867.Crossref 6. Frenkel M: Discount purchasing for Medicare . J Med Pract Manage 1988;3:225-227.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Dec 1, 1988

References