Universal HealthcareBy NextBestFit

Set the national fee schedule

Months 3–15; annual updates thereafter · Payment Rates Board; UHADiscuss this step
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Task 1.7.5 of 6

Re-value overpriced procedures: commission an independent review of RVU inputs, which are currently developed largely by the AMA's RUC.

Who does it
Rates Board
When
Months 6–24
Trade-off

Independent RVU review corrects overpricing but removes physicians' influence over their own fees.

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.