Proudfoot M L
J Fam Pract. 1993 Jul;37(1):57-67.
The resource-based relative value scale (RBRVS) was implemented by the Health Care Financing Administration on January 1, 1992. The practice-expense payments from the old Medicare fee scale were moved unchanged into RBRVS. This resulted in underpayment of office-based practice expenses and overpayment of hospital-based practice expenses. For example, office visits are underpaid by $10.28, whereas coronary angiograms are overpaid by $123.00. Unpaid practice expenses reduce the after-expense physician-work fee of the average office visit by about one half, yet overpayment of practice expenses for some hospital procedures almost doubles the after-expense physician-work fee for some subspecialties. Inflation will likely increase the actual practice expense of the average office visit to the point that the after-expense physician-work fee for the family physician will be reduced to zero by the year 2001.
基于资源的相对价值尺度（RBRVS）于1992年1月1日由医疗保健财务管理局实施。旧医疗保险费用尺度中的执业费用支付原封不动地转入了RBRVS。这导致门诊执业费用支付不足，而住院执业费用支付过度。例如，门诊就诊支付不足10.28美元，而冠状动脉造影支付过度123.00美元。未支付的执业费用使普通门诊就诊的扣除费用后的医师工作报酬减少了约一半，然而某些医院诊疗项目的执业费用支付过度几乎使某些亚专业的扣除费用后的医师工作报酬增加了一倍。通货膨胀可能会使普通门诊就诊的实际执业费用增加到这样的程度，即到2001年家庭医生的扣除费用后的工作报酬将降至零。
