Thomas Bodenheimer, MD; Robert A. Berenson, MD; Paul Rudolf, MD, JD
Potential Financial Conflicts of Interest: None disclosed.
Bodenheimer T., Berenson R., Rudolf P.; The Primary Care–Specialty Income Gap. Ann Intern Med. 2007;146:896. doi: 10.7326/0003-4819-146-12-200706190-00015
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Published: Ann Intern Med. 2007;146(12):896.
We are glad that Dr. Rich has entered into a dialogue about the RUC's role in the multifactorial causation of the primary care–specialty income gap. He is correct that relative value units (RVUs) for E&M services have increased while values for some procedural codes have decreased. However, in its 2007 report to Congress, MedPAC states (1): “The three five-year [RUC] reviews, completed in 1996, 2001, and 2006, led to substantially more recommendations for increases than decreases in the relative values of services, even though many services are likely to become overvalued.”
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