Implementing a resource-based relative value scale fee schedule for physician services : an assessment of policy options for the California workers' compensation program /

A RAND study used 2011 medical data to examine the impact of implementing a resource-based relative value scale to pay for physician and other practitioner services under the California workers' compensation system. Current allowances under the workers' compensation fee schedule are approx...

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Bibliographic Details
Main Authors: Wynn, Barbara O. (Author), Liu, Hangsheng (Author), Mulcahy, Andrew (Author), Okeke, Edward N. (Author), Iyer, Neema (Author), Painter, Lawrence S. (Author)
Corporate Authors: Rand Center for Health and Safety in the Workplace., Rand Justice, Infrastructure, and Environment (Organization), Rand Corporation., California. Department of Industrial Relations.
Format: eBook
Language:English
Published: Santa Monica, CA : RAND, 2013.
Subjects:
Online Access:CONNECT
Description
Summary:A RAND study used 2011 medical data to examine the impact of implementing a resource-based relative value scale to pay for physician and other practitioner services under the California workers' compensation system. Current allowances under the workers' compensation fee schedule are approximately 116 percent of Medicare-allowed amounts and, by law, will transition to no more than 120 percent of Medicare payment amounts over four years. Using the policies that the California Division of Workers' Compensation proposes to adopt, aggregate allowances are estimated to decrease for four types of service by the end of the transition in 2017: anesthesia (19.5 percent), surgery (20.1 percent), radiology (15.9 percent), and pathology (29.0 percent). Aggregate allowances for evaluation and management visits are estimated to increase by 39.5 percent. Allowances for services classified as 'medicine' in the Current Procedural Terminology codebook will increase by 17.3 percent. In the aggregate, across all services, allowances are projected to increase 11.9 percent. Because most specialties furnish different types of services, the impacts by specialty are generally less than the impacts by type of service.
Item Description:"RAND Corporation."
"This research was conducted under the umbrella of the RAND Center for Health and Safety in the Workplace"--Preface.
Title from title screen (viewed August 5, 2013).
Physical Description:1 online resource (225 pages)
Bibliography:Includes bibliographical references.
ISBN:9780833083050
0833083058
9780833086716
0833086715