Medicare physician payment reform: a view from the field.
On Jan. 1, 1992, a major revision process was initiated to change the method by which the Medicare program pays for physician and other professional services. The changes, to be phased in over a five-year period, included payment on the basis of a resource-based relative value scale (RBRVS) and prospective global budgeting for all physician and other professional service payments. Before and shortly after the reform process began, many predicted that far-reaching changes in physician practice would occur as a result. The findings of a survey of physicians in California on the effects that Medicare physician payment reforms had on their practices during 1992 indicate that these predictions may have been exaggerated.
Blue Shield of California, San Francisco.
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Hughes
D001291:Attitude of Health Personnel; D002140:California; D004470:Economics, Medical; D007182:Income / Q000639:trends; D007400:Interprofessional Relations; D016345:Medicare Part B / Q000191:economics / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D010820:Physicians; D011216:Practice Management, Medical / Q000191:economics; D015895:Relative Value Scales; D013038:Specialization; D014481:United States