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  2. Specialty Society Relative Value Scale Update Committee

    en.wikipedia.org/wiki/Specialty_Society_Relative...

    Before the 1992 implementation of the Medicare fee schedule, physician payments were made under the "usual, customary and reasonable" payment model (a "charge-based" payment system). Physician services were largely considered to be misvalued under this system, with evaluation and management services being undervalued and procedures overvalued. [3]

  3. SGR Repeal and Medicare Provider Payment Modernization Act of ...

    en.wikipedia.org/wiki/SGR_Repeal_and_Medicare...

    The bill would authorize the Secretary to: (1) collect and use information on the resources directly or indirectly related to physicians' services in the determination of relative values under the Medicare physician fee schedule; and (2) establish or adjust practice expense relative values using cost, charge, or other data from suppliers or ...

  4. Relative value unit - Wikipedia

    en.wikipedia.org/wiki/Relative_value_unit

    Before RVUs were used, Medicare paid for physician services using "usual, customary and reasonable" rate-setting which led to payment variability. [2]The Omnibus Budget Reconciliation Act of 1989 enacted a Medicare fee schedule, and as of 2010 about 7,000 distinct physician services were listed. [2]

  5. Medicare Sustainable Growth Rate - Wikipedia

    en.wikipedia.org/wiki/Medicare_Sustainable...

    The estimated SGR to go into effect on March 1, 2010, was -8.8%, and the conversion factor for the physician fee schedule was -21.3%. [4] On March 3, 2010, Congress delayed the enforcement of the conversion factor until April 1, 2010, with the passage of the Temporary Extension Act of 2010.

  6. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    The RBRVS for each CPT code is determined using three separate factors: physician work, practice expense, and malpractice expense. The average relative weights of these are: physician work (52%), practice expense (44%), malpractice expense (4%). [2] A method to determine the physician work value was the primary contribution made by the Hsiao study.

  7. How Raising the Medicare Eligibility Age Will Cost America ...

    www.aol.com/news/2011-09-08-how-raising-the...

    As legislators in Washington continue looking for ways to reduce federal spending, some have suggested raising the age at which Americans qualify for Medicare benefits from 65 to 67. On the ...

  8. History of health care reform in the United States - Wikipedia

    en.wikipedia.org/wiki/History_of_health_care...

    Updates to the Medicare physician fee schedule; Setting standards and expectations for safety and quality of diagnostics; Promoting care coordination and patient-centered care by designating a "medical home" that would replace fragmented care with a coordinated approach to care. Physicians would receive a periodic payment for a set of defined ...

  9. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. [ 1 ] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care.