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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: skinowski who wrote (24605)	8/27/2012 4:15:35 PM
From: Peter Dierks	Respond to of 42652

For some reason I trust the AMA quite a bit more than I trust anyone that Obama appoints. Not just that I don't trust a person who would lie about his own place of birth, but I don't trust anyone in government. If they were truly talented they would be working in business. Those who can, do. Those who can't, teach. Those who can't teach work for government.

To: skinowski who wrote (24605)	8/28/2012 10:26:44 PM
From: i-node	Read Replies (1) \| Respond to of 42652

Back in the mid 80's some researchers at Harvard developed the Relative Value Unit (RVU) concept, which is an estimate of the amount of work and level of skill required by every conceivable healthcare service. The thing is very scientific. Medicare accepted the idea, and appointed a bunch of AMA bureaucrat docs to assign the number of those RVU's to each service. In other words, every service, for decades, was compensated in the amount that a bunch of guys and gals on that advisory board decided it was worth. I'm a fervent believer in the RVU concept; however, it became decreasingly scientific over time, as CMS got its hands on it. I would hate to see it go away, as it provides a competent method for applying cost accounting principles to medical practices and allows for a reasonable evaluation of FFS reimbursement rates. As FFS fades away into the sunset, I suspect RBRVS will, too -- but I hope that someone will develop a reasonable alternative to productivity measurement.