Brent R J, Patel M
Department of Economics, Fordham University, Bronx, NY 10458, USA.
Plast Reconstr Surg. 1997 Jul;100(1):51-7. doi: 10.1097/00006534-199707000-00009.
The resource-based relative value scale (RBRVS) was introduced in 1992 by Medicare for payments to physicians. This replaced the previous system based on the physician's customary, prevailing, and reasonable (CPR) charges. This paper analyzes the RBRVS from two perspectives: (1) the economic logic of the system and (2) how it functions differently from the CPR system in practice. As a social pricing system, it can make sense under certain conditions. However, when we provided a test for a New York plastic surgeon of the alleged underpricing of evaluative relative to procedural services under CPR, we found evidence to the contrary.
基于资源的相对价值尺度（RBRVS）于1992年由医疗保险制度引入，用于向医生支付费用。这取代了先前基于医生惯常、普遍和合理（CPR）收费的系统。本文从两个角度分析RBRVS：（1）该系统的经济逻辑，以及（2）它在实践中与CPR系统的运作方式有何不同。作为一种社会定价系统，它在某些条件下是有意义的。然而，当我们对一位纽约整形外科医生进行测试，以检验在CPR下评估性服务相对于程序性服务定价过低的说法时，我们发现了相反的证据。
