Adding Value to Relative-Value Units.
N Engl J Med. 2013 Nov 20;
Authors: Stecker EC, Schroeder SA
Relative-value units (RVUs) were developed in 1988 as a method of accounting for physicians' work effort and hospital or clinic expenses. Because RVUs provided a uniform, formulaic metric for myriad clinical services, they quickly became the prevailing method for setting fee-for-service payments for Medicare and private insurance. However, the dominance of the fee-for-service model has created strong structural impediments to physicians' participation in value-focused health care.(1) The success of new models of care will require not only changes in the way that health systems are organized and paid but also vigorous engagement by generalists and specialists, yet RVU formulas for . . .
PMID: 24256346 [PubMed - as supplied by publisher]