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Which healthcare payment method does Medicare use to reimburse physicians based on the cost of providing...

Which healthcare payment method does Medicare use to reimburse physicians based on the cost of providing services in terms of effort, overhead, and malpractice insurance?

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Answer #1

The healthcare payment method Medicare uses to reimburse physicians based on the cost of providing services in terms of effort, overhead, and malpractice insurance is resource-based relative value scale. Resource-based relative value scale is a schema that is used to decide payment of physicians by assigning a relative value, which could differ from region to region, multiplied by a fixed conversion factor (which changes yearly).

It is based on the following criteria:

54 % on physician’s work

41% on practice expense

5% on malpractice expense

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