JACK HADLEY, Ph.D.; ROBERT A. BERENSON, M.D.
Many conceptual issues underlie the current policy debate over how to reform the fee-for-service method of paying physicians, including the development of a relative value scale for physicians' services and the relationship between a relative value scale and a fee schedule. We consider the relationship between fees and costs and the criteria for judging whether a fee is appropriate or right and then propose a two-step process for constructing a relative value scale. A fee schedule based on a relative value scale is the most practical way to reform the current fee-for-service system and makes the most sense from both clinical and economic viewpoints.
HADLEY J, BERENSON RA. Seeking the Just Price: Constructing Relative Value Scales and Fee Schedules. Ann Intern Med. 1987;106:461–466. doi: 10.7326/0003-4819-106-3-451_2
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Published: Ann Intern Med. 1987;106(3):461-466.
Healthcare Delivery and Policy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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