How to benefit from the coming RBRVS changes.

The Physician Payment Review Commission's endorsement of the Resource-Based Relative Value Scale (RBRVS) represents a major step in reform of the Medicare payment system. Under this plan, cognitive services finally would be reimbursed at the same level for the work involved. The authors present a closer look at the commission's recommendations and discuss how these might substantially improve payment of primary care physicians. They also describe how to get ready.