Dove H G
Division of Health Policy and Administration, Yale University School of Medicine.
Health Aff (Millwood). 1994 Winter;13(5):193-201. doi: 10.1377/hlthaff.13.5.193.
Medicare's resource-based relative value scale (RBRVS) was implemented 1 January 1992 for physician payment using a conversion factor of $31 for each relative value unit (RVU). We calculated a conversion factor of $42.24 for The Travelers Insurance Company's group health plan business using the RBRVS methodology and the calendar year 1990 Travelers Large Case Norms Extract of active employees. This DataWatch describes two important applications of the relative value scale for private insurers: for pricing and for analyzing claims expenditures.
医疗保险的基于资源的相对价值尺度(RBRVS)于1992年1月1日实施,用于医生支付,每个相对价值单位(RVU)的转换因子为31美元。我们使用RBRVS方法和旅行者保险公司1990年日历年在职员工的大病例规范摘要,计算出旅行者保险公司团体健康保险计划业务的转换因子为42.24美元。本数据观察描述了相对价值尺度在私人保险公司中的两个重要应用:定价和分析索赔支出。