This Viewpoint discusses the Medicare Physician Fee Schedule and its flaws, including how they might be remedied by severing CMS dependence on Relative Value Update Committee estimates of time and intensity.
Fee Schedules , Medicare Part B , Physicians , Relative Value Scales , Aged , Humans , Fee Schedules/economics , Fee Schedules/ethics , Medicare/economics , Medicare/ethics , Medicare Part B/economics , Medicare Part B/ethics , Physicians/economics , Physicians/ethics , United States , Ethics, Medical
Objetivo: Investigar se o valor médio geral de remuneração ofertado por três planos odontológicos da cidade de Maceió-AL possuem defasagem, coerência ou ágio em relação ao estabelecido na tabela VRPO-CFO. Materiais e Métodos: foram utilizados três planos odontológicos da cidade de Maceió-AL,acreditando ser esses os de maior procura por parte dos profissionais, para uma comparação entre suas categorias de serviço e as da tabela VRPO, sendo calculado o valor percentual de acréscimo ou defasagem. Resultados: Nota-se que em todas as categorias de serviço, o plano que melhor remunerou foi o plano A, tendo as categorias prevenção, Endodontia, Radiologia e Dentística o menor percentual de defasagem, sendo eles 22%, 26%, 30% e 40%, respectivamente, as demais categorias apresentaram índice acima de 50%. O plano odontológico que pior remunerou, de acordo com a presente pesquisa, foio plano C, com média de defasagem geral de 65%, possuindo a categoria Diagnóstico como o serviço com maior defasagem (83%). Conclusão: Conclui-se que a remuneração dos procedimentos odontológicos,que envolvem todas as especialidades, oferecida por planos odontológicos de Maceió-AL aos Cirurgiões-Dentistas, estão abaixo dos valores determinados na tabela do VRPO-CFO.
Objective: To investigate whe ther the overall average amount of remuneration offered by three dental plans from the city of Maceió-AL have a discrepancy, consistency or goodwill in relation to the established VRPO-CFO table. Materials and Methods: three dental plans from the city of Maceió- ALwere used, believing that these are the most demanded by professionals, for a comparison betweentheir service categories and VRPO table, therefore calculating their increasement percentage valueor lag. Results: We notice that in all service categories, the plan that best remunerated was plan A,having the categories Prevention, Endodontics, Radiology and Dentistry the lowest percentage oflag, namely 22%, 26%, 30% and 40% respectively, the other categories had an index above 50%.The dental plan that pays worse, according to this research, was plan C, with an overall discrepancy average of 65%. Having the Diagnosis service category with the largest lag (83%). Conclusion: We conclude that the remuneration for dental procedures, involving all specialties offered by dental plans in Maceió (AL) to dentists, are lower than the ones determined on the VRPO-CFO table.
Humans , Male , Female , Reference Values , Remuneration , Fee Schedules/classification , Fee Schedules/statistics & numerical data , Fee Schedules/ethics , Fee Schedules/standards , Fee Schedules/organization & administration , Fee Schedules
Clinical Coding/legislation & jurisprudence , Fraud/legislation & jurisprudence , Insurance Coverage/legislation & jurisprudence , National Health Programs/legislation & jurisprudence , Privatization/legislation & jurisprudence , Reimbursement Mechanisms/legislation & jurisprudence , Fee Schedules/ethics , Fee Schedules/legislation & jurisprudence , Germany , Humans
It has become increasingly difficult to place a value on the work that doctors do. Yet fiscal pressures have lead to economic incentives for performing certain kinds work instead of others. So the question arises: what are the ethics and consequences of trying to objectively compare the many services physicians offer?
Fee Schedules/ethics , Medical Staff, Hospital/economics , Reimbursement Mechanisms/ethics , Relative Value Scales , Clinical Competence , Conflict of Interest , Humans , Medical Staff, Hospital/ethics , Organizational Affiliation , Organizational Innovation , Patient Credit and Collection , Physician Incentive Plans/ethics , United States
