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AMA Policy on the Resource-Based Relative Value Scale and Related IssuesA Summary of AMA Board of Trustees Report AA
JAMA. 1989;261(16):2386-2388.
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ON DECEMBER 6, 1988, after almost 2 days of discussion at its Interim Meeting in Dallas, Tex, the American Medical Association (AMA) House of Delegates unanimously adopted Report AA of the AMA Board of Trustees on the Resource-Based Relative Value Scale (RBRVS) study conducted by William C. Hsiao, PhD, Peter Braun, MD, and colleagues at the Harvard University School of Public Health (The Harvard Study).1-6 Board Report AA states the AMA's position on 18 points related to this study and its potential implementation.
The RBRVS is one of a growing list of Medicare physician payment "reforms" considered by Congress and the Reagan and Bush administrations in the 1980s. Revisions to the current "customary, prevailing, and reasonable" (CPR) charge system that have already been enacted, including payment cuts for procedures deemed by Congress to be "overpriced" and limits on physicians' fees, have made the status quo untenable. Some proposed payment
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Footnotes
From the Board of Trustees, American Medical Association, Chicago, Ill.
This report was prepared by Sandra L. Sherman, MM, and Mark J. Segal, PhD, Department of Health Care Financing, American Medical Association. Report AA was adopted by the House of Delegates of the American Medical Association at the 1988 Interim Meeting.
Reprint requests to the American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Ms Sherman).
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