Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.7

Set the national fee schedule

Months 3–15; annual updates thereafter · Payment Rates Board; UHADiscuss this step
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Task 1.7.2 of 6

Create fee schedules for services Medicare doesn't pay for: dental (CDT codes priced at 95% of the average private fee), pediatric and obstetric codes, vision, and hearing.

Who does it
Rates Board
When
Month 3–12
Trade-off

Pricing dental at 95% of average private fees attracts dentists but costs more than Medicaid dental rates.

Part of: Set the national fee schedule

Adopt Medicare's RBRVS fee schedule as the base, raise primary care to 125% of Medicare, procedural specialties to 105%, and others to 112% on average. Physician & clinical UHP spending becomes $1.05T (price effect −$21.4B, utilization effect +$113.0B).

This step changes 6 existing laws, programs, or institutions. See the list.