Specialty Resource-Based Method of Allocating Practice Expense Under the MedicareFee Schedule

摘要

The paper proposes and simulates a specialty resource-based method of determiningphysician practice expense payments under the Medicare Fee Schedule (MFS). This method sets practice expense relative value units so that they are the same proportion of total relative value units as practice expenses are of total practice revenues. Simulations indicate that fees of the fully implemented MFS are roughly halfway between historical charges and specialty resource-based fees. A specialty resource-based fee schedule amplifies the MFS redistribution of specialty income by about 50 percent.