Harris-Shapiro J
Harbor Health Management Services, Inc., Jenkintown, PA, USA.
J Health Care Finance. 1998 Winter;25(2):49-54.
Medicare RBRVS has become widely used as a standard for physician fee scales by both traditional health insurance plans and managed care organizations. There are significant variations in the way RBRVS has been adapted by these private payers. These variations, when combined with changes Medicare has made to the underlying components of RBRVS, may result in unintended and unexpected increases in physician payments. To avoid surprises, payers using RBRVS-based fee scales need to carefully evaluate the overall impact of annual RBRVS modifications on their delivery systems.
医疗保险相对价值比率系统（Medicare RBRVS）已被传统医疗保险计划和管理式医疗组织广泛用作确定医生收费标准的依据。这些私营支付方在采用RBRVS的方式上存在显著差异。这些差异，再加上医疗保险对RBRVS基本构成部分所做的改变，可能会导致医生报酬出现意外增加。为避免意外情况，使用基于RBRVS收费标准的支付方需要仔细评估RBRVS年度调整对其医疗服务体系的整体影响。
