Title Implementing a resource-based relative value scale fee schedule for physician services : an assessment of policy options for the California workers' compensation program / Barbara O. Wynn [and five others]

Published Santa Monica, CA : RAND, 2013

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Description 1 online resource (225 pages) Contents Introduction - Data - Analytical approach - Descriptive results - Impact analysis - Alternative ground rules for the resource-based relative value fee scale - Other official medical fee schedule issues - Summary - Appendix A. Comparison of the official medical fee schedule and Medicare ground rules - Appendix B. Crosswalk : official medical fee schedule to 2013 current procedural terminology - Appendix C. Official medical fee schedule codes with no 2013 equivalent codes in the current procedural terminology - Appendix D. Analysis of alternative pricing policies for physician-administered drugs 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 Notes "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) Bibliography Includes bibliographical references Notes Online resource Subject Workers' compensation -- Rates -- California Physicians -- Salaries, etc. -- United States Medical fees -- United States Medical care, Cost of -- United States LAW -- Labor & Employment. Medical care, Cost of Medical fees Physicians -- Salaries, etc. Workers' compensation -- Rates California United States Form Electronic book Author Liu, Hangsheng, author Mulcahy, Andrew, author Okeke, Edward N., author Iyer, Neema, author Painter, Lawrence S., author Rand Center for Health and Safety in the Workplace. Rand Justice, Infrastructure, and Environment (Organization) Rand Corporation. California. Department of Industrial Relations. ISBN 9780833083050 0833083058 9780833086716 0833086715

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