RBRVS impact: academic medical centers gauge impact of new fee schedule

Article Abstract:

Medicare's resource-based value scale (RBRVS), its payment system for Medicare doctors, may place an undue financial burden on university medical centers. These centers will lose money under the system because they frequently treat very sick patients who require extra physician time. However, RBRVS does not differentiate between these physicians and physicians with healthier patients. Medical center doctors may need to increase patient care time and decrease teaching and research duties to make up the difference. This will mean less revenue for medical education, the university's primary mission.

Admin. of social & manpower programs, Evaluation, Medical centers, Prices and rates, Relative value scale payment systems (Medical care)

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Primary care push: teaching hospitals start programs to enhance MD base

Article Abstract:

There is a crucial need for more general practice physicians, so some teaching hospitals are providing opportunities for students to obtain community primary care experience. For example, the Kalamazoo Center for Medical Studies in Kalamazoo, MI, offers a pediatrics medical program where medical residents learn community subspecialty care. Also, the Rush Community Service Initiative Program, conceived and run by students from the Rush School of Medicine, involves medical students in such community service projects as AIDS education and pediatric asthma intervention.

Offices & clinics of medical doctors, General medical & surgical hospitals, Management, Supply and demand, Physicians (General practice), General practitioners, Hospitals, Teaching, Teaching hospitals

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