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National Study of Resource-Based Relative Value Scales for Physician Services. Volume 1. Executive Summary.

PB89101828

Publication Date	1988
Personal Author	Hsiao, W. C.; Braun, P.; Becker, E.; Causino, N.; Couch, N. P.
Page Count	30
Abstract	The study develops a national resource-based relative value scale and presents results for physician services in 18 specialties. The scale establishes relative values which are comparable across specialties. Resource-based relative values are hypothesized to be a function of physician work before, during and after the service, specialty-specific relative practice costs, and specialty-specific relative opportunity costs. Physicians were surveyed to determine the amount of work expended during the performance of 409 services and procedures. Weighted least squares was employed to make work across specialists comparable. Extrapolation techniques were used to generate relative values for non-surveyed services in the studied specialties. The study shows there is a large variation in resource requirements both within and among specialties. Medicare charge to resource-based relative values ratios also show large variation. These ratios ranged from 0.2 to 0.5 for most evaluation and management services, and were greater than 1.0 for most hospital-based invasive procedures. The study also subjects the methodology and results to review by experts in various fields.
Keywords	Physicians Payment Evaluation Surgery Documentation Health services Medical fees Health care costs Medicare Reimbursements
Source Agency	Health Care Financing Administration Policy Planning Research
NTIS Subject Category	44Q - Health Related Costs 44E - Health Care Measurement Methodology 44R - Economics & Sociology 62 - Computers, Control & Information Theory
Corporate Authors	Harvard School of Public Health, Boston, MA.; Health Care Financing Administration, Baltimore, MD. Office of Research
Supplemental Notes	For system on magnetic tape, see PB89-101810. See also Volume 2, PB89-101836. Sponsored by Health Care Financing Administration, Baltimore, MD. Office of Research and Demonstrations.
Document Type	Technical Report
Title Note	Final rept. Sep 85-Sep 88,
NTIS Issue Number	198902

National Study of Resource-Based Relative Value Scales for Physician Services. Volume 1. Executive Summary.

National Study of Resource-Based Relative Value Scales for Physician Services. Volume 1. Executive Summary.
PB89101828

Publication Date	1988
Personal Author	Hsiao, W. C.; Braun, P.; Becker, E.; Causino, N.; Couch, N. P.
Page Count	30
Abstract	The study develops a national resource-based relative value scale and presents results for physician services in 18 specialties. The scale establishes relative values which are comparable across specialties. Resource-based relative values are hypothesized to be a function of physician work before, during and after the service, specialty-specific relative practice costs, and specialty-specific relative opportunity costs. Physicians were surveyed to determine the amount of work expended during the performance of 409 services and procedures. Weighted least squares was employed to make work across specialists comparable. Extrapolation techniques were used to generate relative values for non-surveyed services in the studied specialties. The study shows there is a large variation in resource requirements both within and among specialties. Medicare charge to resource-based relative values ratios also show large variation. These ratios ranged from 0.2 to 0.5 for most evaluation and management services, and were greater than 1.0 for most hospital-based invasive procedures. The study also subjects the methodology and results to review by experts in various fields.
Keywords	Physicians Payment Evaluation Surgery Documentation Health services Medical fees Health care costs Medicare Reimbursements
Source Agency	Health Care Financing Administration Policy Planning Research
NTIS Subject Category	44Q - Health Related Costs 44E - Health Care Measurement Methodology 44R - Economics & Sociology 62 - Computers, Control & Information Theory
Corporate Authors	Harvard School of Public Health, Boston, MA.; Health Care Financing Administration, Baltimore, MD. Office of Research
Supplemental Notes	For system on magnetic tape, see PB89-101810. See also Volume 2, PB89-101836. Sponsored by Health Care Financing Administration, Baltimore, MD. Office of Research and Demonstrations.
Document Type	Technical Report
Title Note	Final rept. Sep 85-Sep 88,
NTIS Issue Number	198902