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Physician Payment Reform: Implications for Geriatrics
Author(s) -
Hammons Glenn T.,
Pawlson L. Gregory
Publication year - 1989
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1989.tb06925.x
Subject(s) - medicine , reimbursement , payment , resource based relative value scale , geriatrics , commission , family medicine , geriatric care , schedule , medicaid , payment system , actuarial science , nursing , health care , finance , psychiatry , business , computer science , economics , economic growth , operating system
A consensus has developed on the need for a major revision of physician reimbursement in the Medicare program. The Physician Payment Review Commission has recommended to Congress a series of far‐reaching changes in the payment system, based on the development of a fee schedule using a Resource Based Relative Value System (RBRVS). This article explores the rationale for the recommendations and the probable impact on Medicare beneficiaries and their physicians if the changes are enacted. Special consideration is given to unique aspects of geriatric medicine, including comprehensive geriatric assessment.