Document Detail


Surviving the perfect storm: an RVU-based model to evaluate the continuing impact of MMA on the practice of oncology.
MedLine Citation:
PMID:  16403401     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Resource-Based Relative Value Scale (RBRVS) system instituted by Centers for Medicare and Medicaid Services has lead to the implementation of a new financial analysis paradigm based on relative value units (RVUs). RVU-based financial tools have great potential to allow in-depth analysis of all components of the cancer care delivery system. Because all medical oncology practices must become conversant in RVU terminology and methodology, RVU-based financial tools will allow standardization and benchmarking for intra- and interpractice comparisons. Understanding this approach is essential for sound business management. The emotional and financial pressures facing the medical oncologist in private practice are enormous, with no real relief in sight. The complexity of managing the business of private practice oncology rivals that of managing the complexity of cancer care. With anticipated reductions in total net revenue per clinical treatment protocol per course of care, funds available for providers and their practices will be severely reduced. Only those practices with superlative RVU-based cost and revenue accounting systems will be able to prospectively and efficiently manage their businesses. Clearly, management of the Oncology Practice Econometric Model (OPEM) expense RVU or similar RVU-based data will be required for survival. The purpose of this article is to explore an RVU-based model to analyze the professional, infusion, and therapeutic components of contemporary cancer care.
Authors:
David M Dunning; Thomas A Paivanas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the National Comprehensive Cancer Network : JNCCN     Volume:  4     ISSN:  1540-1405     ISO Abbreviation:  J Natl Compr Canc Netw     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-11     Completed Date:  2006-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101162515     Medline TA:  J Natl Compr Canc Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3-15     Citation Subset:  IM    
Affiliation:
DD-TAPA, 4440 Sleaford Road, Annandale, VA 22003, USA.
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MeSH Terms
Descriptor/Qualifier:
Accounting
Computer Simulation
Costs and Cost Analysis
Fee Schedules / legislation & jurisprudence*
Humans
Insurance, Health, Reimbursement
Medical Oncology / economics*
Medicare Part B / legislation & jurisprudence*
Models, Econometric*
Relative Value Scales*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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