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Medicare Conference Bibliography
Reports and Journal Articles AMA. An Introduction to the RUC. https://www.ama-assn.org/sites/default/files/media-browser/public/rbrvs/introduction-to-the-rucupdated.pdf AMA/Specialty Society RVS Update Committee Significant Process Improvements – 2012/2013 https://www.ama-assn.org/sites/default/files/media-browser/public/rbrvs/improvements-to-ruc_0.pdf Berenson, Robert, Stephen Zuckerman, Karen Stockley, Radhika Nath, David Gans and Terry Hammons, “What if All Physicians Were Paid Under the Medicare Fee Schedule: An Analysis Using Medicare Group Management Association Data,” MedPAC Contractor Report, March 2010. http://www.medpac.gov/documents/Mar10_Physician_FeeSchedule_CONTRACTOR.pdf Berenson, Robert and John Goodson. 2016. “Finding Value in Unexpected Places — Fixing the Medicare Physician Fee Schedule.” New England Journal of Medicine. 374: 306-1309 Berk, ML. 2016. “The Need for Ongoing Surveys About Physician Practice Costs”. Health Affairs 35(9): 1647-1650. Braun, P. and McCall, N. Improving the Accuracy of Time in the Medical Physician Fee Schedule: Feasibility of Using Extant Data and of Collecting Primary Data. For MedPAC, 2011. Clemens, Jeffrey, and Joshua D. Gottlieb. 2014. "Do Physicians' Financial Incentives Affect Medical Treatment and Patient Health?" American Economic Review, 104(4): 1320-49. Cromwell, J, Hoover, S, McCall, N, and Braun, P. Validating CPT typical times for Medicare office evaluation and management (E/M) services. Med Care Res Rev. 2006; 63: 236–255 Ellis RP, Miller MM. Provider payment methods and incentives. In: Carrin G, editor. Health systems policy, finance, and organization. Amsterdam: Elsevier Academic Press; 2009. p. 322–9. Ikegami, Naoki. Controlling health expenditures by revisions to the fee schedule in Japan. In: Universal Health Coverage for Inclusive and Sustainable Development: Lessons from Japan: 2014. P. 69-100. Jacobson M, Earle CC, Price M, Newhouse JP. How Medicare's payment cuts for cancer chemotherapy drugs changed patterns of treatment. Health Affairs (Millwood) 2010; 29:1391-1399 Jacobson, M, TY Chang, J Newhouse, et al: Physician agency and competition: Evidence from a major change to Medicare chemotherapy reimbursement policy. NBER Working Paper Series. The National Bureau of Economic Research 2013
Kane, AMA Policy Research Perspectives, Updated Data on Physician Practice Arrangements: Inching Toward Hospital Ownership, 2015 Lee PR, Ginsburg PB, LeRoy LB, Hammons GT. The Physician Payment Review Commission Report to Congress. JAMA. 1989;261(16):2382–2385. Laugesen, Miriam. Fixing medical prices how physicians are paid. Cambridge, MA, Harvard University Press, 2016. Merrell K and Berenson R. “Structuring payment for medical homes,” Health Affair 2010 May; 29(5):852858. http://content.healthaffairs.org/cgi/content/abstract/29/5/852 Merrell K, Schur C, et al, “Analysis of Physician Time Use Patterns under the Medicare Fee Schedule.” Final Report for DHHS/ASPE, August 2014. McCall, N, Cromwell, J, and Braun, P. Validation of physician survey estimates of surgical time using operating room logs. Med Care Res Rev. 2006; 63: 764–777 Mulcahy, Andrew W, Barbara Wynn, Lane Burgette, and Ateev Mehrotra. 2015. “Medicare's step back from global payments--unbundling postoperative care.” N England J Med, 372, 15, Pp. 1385-7. Physician Payment Review Commission Annual Report to Congress. DC: annually 1989-1997. Robinson, J.C., 2001. Theory and practice in the design of physician payment incentives. Milbank Quarterly, 79(2), 149-177 Stecker, Eric, and Steven Schroeder. 2013. “Adding Value to Relative Value Units”. New England Journal of Medicine, 369(23): 2176-2179 http://www.nejm.org/doi/full/10.1056/NEJMp1310583#t=article
Wynn, BO, Hussey, PS, Ruder T. “Policy Options for Addressing Medicare Payment Differentials Across Ambulatory Setting.” RAND for ASPE/DHHS (2011). Zuckerman S, K. Merrell, R. Berenson et al., Incremental Cost Estimates for the Patient-Centered Medical Home, The Commonwealth Fund, October 2009. http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2009/Oct/Incremental-CostEstimates-For-The-Patient-Centered-Medical-Home.aspx Zuckerman S, Berenson R, Merrell K, Oberlander T, McCall N, Lewis R, Mitchell S, Shrestha M. “Development of a Model for the Valuation of Work Relative Value Units.” Prepared for CMS; 2014. http://www.cms.gov/Medicare/Medicare-Fee-for-Service Payment/PhysicianFeeSched/Downloads/RVUs-Validation-Urban-Interim-Report.pdf.
Zuckerman, Stephen , Katie Merrell, Robert A. Berenson, Nicole Cafarella Lallemand, Jonathan Sunshine “Realign Physician Payment Incentives in Medicare to Achieve Payment Equity among Specialties, Expand the Supply of Primary Care Physicians, and Improve the Value of Care for Beneficiaries” January 2015 http://www.urban.org/publications/2000059.html Zuckerman, Stephen, Katie Merrell, Robert Berenson, Susan Mitchell, Divvy Upadhyay, Rebecca Lewis “Collecting Empirical Physician Time Data: Piloting an Approach for Validating Work Relative Value Units” December 2016. http://www.urban.org/research/publication/collecting-empirical-physician-time-data-piloting-approachvalidating-work-relative-value-units
Websites There are many reports and regulations related to the Medicare Fee Schedule and Alternative Payment Models on the following organizations’ websites: MedPAC: http://www.medpac.gov/ CMS PFS: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/ CMS CMMI: https://innovation.cms.gov/ AMA RUC: https://www.ama-assn.org/about-us/ruc PTAC: https://aspe.hhs.gov/ptac-physician-focused-payment-model-technical-advisory-committee
