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Impact of resource-based practice expenses on the Medicare physician volume.

Maxwell S, Zuckerman S - Health Care Financ Rev (2007-2008 Winter)

Bottom Line: Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix.We found that the number services with site of service differentials doubled, and that shifts in site of service and introduction of resource-based practice expenses (RBPE)were important sources of change in practice expense RVU volume.Service quantity and mix remained the largest source of growth in total RVU volume.

View Article: PubMed Central - PubMed

Affiliation: Urban Institute, Washington, DC 20037, USA. smaxwell@ui.urban.org

ABSTRACT
In 1999, Medicare implemented a resource-based relative value unit (RVU) system for physician practice expense payments, and increased the number of services for which practice expense payments differ by site. Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix. We found that the number services with site of service differentials doubled, and that shifts in site of service and introduction of resource-based practice expenses (RBPE)were important sources of change in practice expense RVU volume. Service quantity and mix remained the largest source of growth in total RVU volume.

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Sources of Change in Total Relative Value Unit (RVU) Volume, by Type of Service: 1998-2004
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Related In: Results  -  Collection


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f3-hcfr-29-2-065: Sources of Change in Total Relative Value Unit (RVU) Volume, by Type of Service: 1998-2004

Mentions: Figure 3 illustrates the decomposition analysis in terms of total (i.e., work, practice expense, and liability insurance) volume. Across all services, service quantity and mix is the overriding source of total RVU volume growth, increasing it by 437.2 million RVUs. While changes in PE RVUs per service and shifts in site of service were substantial sources of practice expense volume growth in the evaluation and management and other procedures categories, service quantity and mix was the dominant source of growth across each service category when viewing total RVU volume growth.


Impact of resource-based practice expenses on the Medicare physician volume.

Maxwell S, Zuckerman S - Health Care Financ Rev (2007-2008 Winter)

Sources of Change in Total Relative Value Unit (RVU) Volume, by Type of Service: 1998-2004
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195021&req=5

f3-hcfr-29-2-065: Sources of Change in Total Relative Value Unit (RVU) Volume, by Type of Service: 1998-2004
Mentions: Figure 3 illustrates the decomposition analysis in terms of total (i.e., work, practice expense, and liability insurance) volume. Across all services, service quantity and mix is the overriding source of total RVU volume growth, increasing it by 437.2 million RVUs. While changes in PE RVUs per service and shifts in site of service were substantial sources of practice expense volume growth in the evaluation and management and other procedures categories, service quantity and mix was the dominant source of growth across each service category when viewing total RVU volume growth.

Bottom Line: Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix.We found that the number services with site of service differentials doubled, and that shifts in site of service and introduction of resource-based practice expenses (RBPE)were important sources of change in practice expense RVU volume.Service quantity and mix remained the largest source of growth in total RVU volume.

View Article: PubMed Central - PubMed

Affiliation: Urban Institute, Washington, DC 20037, USA. smaxwell@ui.urban.org

ABSTRACT
In 1999, Medicare implemented a resource-based relative value unit (RVU) system for physician practice expense payments, and increased the number of services for which practice expense payments differ by site. Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix. We found that the number services with site of service differentials doubled, and that shifts in site of service and introduction of resource-based practice expenses (RBPE)were important sources of change in practice expense RVU volume. Service quantity and mix remained the largest source of growth in total RVU volume.

Show MeSH