Hughes K E
Blue Shield of California, San Francisco.
Healthc Financ Manage. 1993 Nov;47(11):48-52, 54.
On Jan. 1, 1992, a major revision process was initiated to change the method by which the Medicare program pays for physician and other professional services. The changes, to be phased in over a five-year period, included payment on the basis of a resource-based relative value scale (RBRVS) and prospective global budgeting for all physician and other professional service payments. Before and shortly after the reform process began, many predicted that far-reaching changes in physician practice would occur as a result. The findings of a survey of physicians in California on the effects that Medicare physician payment reforms had on their practices during 1992 indicate that these predictions may have been exaggerated.
1992年1月1日，启动了一项重大修订程序，以改变医疗保险计划支付医生及其他专业服务费用的方式。这些变化将在五年内逐步实施，包括基于资源的相对价值尺度（RBRVS）进行支付，以及对所有医生和其他专业服务支付进行前瞻性整体预算。在改革程序开始之前及刚开始后不久，许多人预测这将导致医生执业方式发生深远变化。一项针对加利福尼亚州医生的调查结果显示，1992年医疗保险医生支付改革对他们执业产生的影响表明，这些预测可能有些夸张。
