In setting doctors' Medicare fees, CMS almost always accepts the relative value update panel's advice on work values.

Health Affairs
Miriam J LaugesenEric M Chen

Abstract

To calculate physicians' fees under Medicare--which in turn influence the physician fee schedules of other public and private payers--one of the essential decisions the Centers for Medicare and Medicaid Services (CMS) must make is how much physician time and effort, or work, is associated with various physician services. To make this determination, CMS relies on the recommendations of an advisory committee representing national physician organizations. Some experts on primary care who are concerned about the income gap between primary and specialty care providers have blamed the committee for increasing that gap. Our analysis of CMS's decisions on updating work values between 1994 and 2010 found that CMS agreed with 87.4 percent of the committee's recommendations, although CMS reduced recommended work values for a limited number of radiology and medical specialty services. If policy makers or physicians want to change the update process but keep the Medicare fee schedule in its current form, CMS's capacity to review changes in relative value units could be strengthened through long-term investment in the agency's ability to undertake research and analysis of issues such as how the effort and time associated with different physi...Continue Reading

References

Nov 14, 2006·Medical Care Research and Review : MCRR·Nancy McCallPeter Braun
Feb 21, 2007·Annals of Internal Medicine·Thomas BodenheimerPaul Rudolf
Mar 23, 2007·The New England Journal of Medicine·Paul B Ginsburg, Robert A Berenson
May 4, 2007·The New England Journal of Medicine·Stephanie MaxwellRobert A Berenson
Nov 22, 2007·JAMA : the Journal of the American Medical Association·John D Goodson

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Citations

Mar 29, 2013·The New England Journal of Medicine·Steven A SchroederUNKNOWN National Commission on Physician Payment Reform
Jan 24, 2016·The American Journal of the Medical Sciences·James WoerheideEugene C Rich
Aug 29, 2014·Gastroenterology·Shivan J Mehta, Joel V Brill
Aug 29, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shivan J Mehta, Joel V Brill
May 24, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Dawn L Francis
Apr 18, 2019·The New England Journal of Medicine·David C ChanDavid M Studdert
Jul 18, 2019·JAMA Surgery·Christopher P ChildersMelinda Maggard-Gibbons
Apr 16, 2020·JAMA Surgery·Karan R Chhabra, Justin B Dimick
Mar 1, 2017·Journal of General Internal Medicine·Andrew L Ellner, Russell S Phillips
May 14, 2020·Annals of Surgery·Christopher P Childers, Melinda Maggard-Gibbons
Sep 26, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jack A HarrisYisi D Ji
Mar 22, 2021·Journal of Pediatric Surgery·Roxanne L MassoumiSteven L Lee
May 8, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Andrew J MeyrJennifer C Van

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