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Politics : A US National Health Care System?

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To: skinowski who wrote (25488)	3/20/2013 11:47:52 PM
From: i-node	of 42652

>> They forgot to develop a "scientific" method of assigning RVUs to each service. That's the real problem; RVUs would be an excellent tool if they represented reality. But you can't tinker with the RVU assignments to procedures (in order to produce particular payment outcomes) and expect the system to have overall integrity. Today, there is a problem with the practice expense portion of the system as well as the facility/non-facility breakdowns. In short, the entire system has collapsed into something arbitrary and meaningless. In the late 80s, when it was being developed, I believe it was being done objectively -- even though it was funded (at least in part) by HCFA. Now it is nearly worthless.

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