PM&R
Volume 1, Issue 6 , Pages 580-583 , June 2009

Medicare's Impact on the Ever Changing World of Physician Reimbursement

  • Gregory M. Worsowicz, MD, MBA

      Affiliations

    • PM&R, University of Missouri-Columbia, One Hospital Dr, DC046.00, Columbia, MO 65212
    • Corresponding Author InformationAddress correspondence to: G.M.W.
  • ,
  • Eric Rosenhauer, MBA, MHA

      Affiliations

    • University Physicians, University of Missouri-Columbia, Columbia, MO

References 

  1. Non-Medicare use of the RBRVS: Survey data. In:  Smith SL editors. Medicare RBRVS 2009: The Physicians' Guide. Chicago IL: American Medical Association; 2009;p. 143–154
  2. The history of health insurance in the United States (Northern California Neurosurgery Medical Group, Inc). www.neurosurgical.com/medical_history and_ethics/history/history_of_health_insurance.htmAccessed February 16, 2009.
  3. Development of the Resource-Based Relative Value Scale. In:  Smith SL editors. Medicare RBRVS 2009: The Physician's Guide. Chicago IL: American Medical Association; 2009;p. 1–17
  4. Glass KP. RVU's: Applications for medical practice success. 2nd ed.. Englewood, CO: Medical Group Management Association; 2007;
  5. Hariri S, Bozic KJ, Lavernia C, et al. Medicare physicians reimbursement: Past, present, future. J Bone Joint Surg Am. 2007;89:2536–2546
  6. Glass KP, Anderson JR. Relative value units: From A to Z (Part I of IV). J Med Pract Manage. 2000;17:225–228
  7. RVS update process (AMA/Specialty Society). http://www.ama-assn.org/ama1/pub/upload/mm/380/rvs-booklet.pdfAccessed January 15, 2009.
  8. Wilensky GR. Reforming Medicare's physician payment system. N Engl J Med. 2009;360:653–655
  9. MIPPA: Medicare Physician Payment/DMEPOS Bidding Delay Legislation Enacted. Health Industry Washington Watch, 07/16/08. http://www.healthindustrywashingtonwatch.com/2008/07/articles/legislative-developments/mippa-medicare-physician-paymentdmepos-bidding-delay-legislation-enacted/Accessed March 26, 2009.
  10. Is your contracting wagon hooked to the wrong horse? (Faculty Practice Solutions Center). October. http://public.uhc.edu/UHCMail/fpsc/FPSCOppAlert1008.htm2008;Accessed February 4, 2009.
  11. A path to bundled payment around a hospitalization. In: Report to the Congress: Reforming the Delivery System. June 2008;http://medpac.gov/chapters/Jun08_Ch04.pdfAccessed December 14, 2008.
  12. Welch WP. Bundled Medicare payment for acute and postacute (Would financial risk to hospitals increase if Medicare paid them a lump sum per episode of care?). Health Affairs. 1998;17:69–81
  13. CMS to test use of bundled payments for both hospitals and physician services (Heart Rhythm Society). http://author.hrsonline.org/Policy/CodingReimbursement/reimbursement/physician/test_bundled_payment_06_08.cfmAccessed March 24, 2009.
  14. Worsowicz GM, Rosenhauer E. ABCs of quality: Is your practice on the train or on the tracks?. PM&R. 2009;1:185–188
  15. Inglehart JK. No place like home – Testing a new model of care delivery. N Engl J Med. 2008;359:1200–1202

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)00456-0

doi: 10.1016/j.pmrj.2009.05.001

PM&R
Volume 1, Issue 6 , Pages 580-583 , June 2009