Psychiatry and the resource-based relative value scale
- 1 October 1988
- journal article
- Published by American Psychiatric Association Publishing in American Journal of Psychiatry
- Vol. 145 (10) , 1237-1242
- https://doi.org/10.1176/ajp.145.10.1237
Abstract
Attention to reform of reimbursement for psychiatric inpatient services largely focuses on the use of prospective payment systems, e.g., payment based on diagnosis-related groups (DGRs), for hospitals. Recently, there also has been interest in proposals for altering physician reimbursement (inpatient and outpatient) by using physician DRGs, capitation models, or relative value scales instead of the charge-based, fee-for-service model. The authors review the resource-based relative value scale (RBRVS) as an option for psychiatry. The RBRVS uses the setting, the time spent, the difficulty in treating the patient, the training, and the psychiatrist's role to determine reimbursement rates.Keywords
This publication has 10 references indexed in Scilit:
- Payment of Physicians under MedicareNew England Journal of Medicine, 1988
- The Resource-Based Relative Value ScalePublished by American Medical Association (AMA) ,1987
- Differences in resource use and cost among facilities treating alcohol, drug abuse, and mental disorders: implications for design of a prospective payment systemAmerican Journal of Psychiatry, 1987
- The Privatization of Health Care and Physicians' Perceptions of Access to Hospital ServicesThe Milbank Quarterly, 1987
- Do Nursing Homes Reduce Hospital Use?Medical Care, 1987
- Trends in private insurance coverage for mental illnessAmerican Journal of Psychiatry, 1986
- Diagnosis-related groups and general hospital psychiatry: the APA StudyAmerican Journal of Psychiatry, 1986
- On the Limits of Expanding Health Care Reform: Chronic Care in Prepaid SettingsThe Milbank Quarterly, 1986
- Physician DRGsNew England Journal of Medicine, 1985
- Strategies for Reforming Medicare's Physician PaymentsNew England Journal of Medicine, 1985