Impact of resource-based practice expenses on the Medicare physician volume.

Health Care Financing Review Pub Date : 2007-12-01
Stephanie Maxwell, Stephen Zuckerman
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引用次数: 0

Abstract

In 1999, Medicare implemented a resource-based relative value unit (RVU) system for physician practice expense payments, and increased the number of services for which practice expense payments differ by site. Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix. We found that the number services with site of service differentials doubled, and that shifts in site of service and introduction of resource-based practice expenses (RBPE)were important sources of change in practice expense RVU volume. Service quantity and mix remained the largest source of growth in total RVU volume.

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基于资源的实践费用对医疗保险医师数量的影响。
1999年,医疗保险实施了基于资源的相对价值单位(RVU)系统,用于医生执业费用支付,并增加了不同地点执业费用支付的服务数量。利用1998-2004年的数据,我们研究了RVU的增长,并将其分解为基于资源的RVU、服务地点、服务数量和组合。研究发现,存在服务地点差异的服务数量增加了一倍,服务地点的转移和资源型实践费用(RBPE)的引入是实践费用RVU量变化的重要来源。服务数量和组合仍然是RVU总量增长的最大来源。
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来源期刊
Health Care Financing Review
Health Care Financing Review 医学-卫生保健
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