Use of Medicare Payment Methodologies and Cost Containment Strategies by MedicaidPrograms and Private Payers

摘要

The primary purpose of this study was to evaluate the extent to which theResource Based Relative Value Scale (RBRVS) and physician payment policies accompanying the Medicare Fee Schedule (MFS) are viable options for other public and private payers. Two research methods were utilized. The first involved analysis of survey data on 333 payers across eight categories on the diffusion of RBRVS. The second research method used was in-depth case studies of a dozen-payers--six public and six private--that are adopting or actively considering an RBRVS-based system. The study shows that there has been widespread diffusion of the MFS.