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New York State Department of Health Code, Section 405, also known as the Libby Zion Law, is a regulation that limits the amount of resident physicians' work in New York State hospitals to roughly 80 hours per week. [1] The law was named after Libby Zion, the daughter of author Sidney Zion, who died in 1984 at the age of 18.
The New York State Board for Medicine is a New York State Education Department board [1] [2] [3] responsible for licensing, monitoring, and disciplining physicians and physician assistants to uphold medical standards and protect public health.
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.
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 ]
Drugs are more expensive, doctors are paid more, and suppliers charge more for medical equipment than other countries. [48] Journalist Todd Hixon reported on a study that U.S. spending on physicians per person is about five times higher than peer countries, $1,600 versus $310, as much as 37% of the gap with other countries.
State or territory Median wage in US$ [4] Average earnings in US$ [3] 1 District of Columbia: $79,960 $130,836 2 Massachusetts: $58,540 $93,765 3 Washington: $50,450 $90,128 4 Alaska: $48,820 $78,089 5 New York: $48,800 $95,470 6 Connecticut: $48,720 $86,235 7 Maryland: $48,460 $79,257 8 New Jersey: $48,200 $86,170 9 Colorado: $47,940 $76,485 10
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After reviewing the medical literature in 2014, pediatrician Aaron E. Carroll wrote in The New York Times that pay for performance in the US and UK has brought "disappointingly mixed results". These disappointing results were confirmed in 2018 by health economist Igna Bonfrer and co-authors in The BMJ , based on an observational study among ...
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