Published 4/30/13 in Medical Economics
If primary care physicians have a bigger enemy than the RUC, Brian Klepper, PhD, hasn’t heard about it.
The American Medical Association’s (AMA) Relative Value Scale Update Committee (RUC) is a 31-physician panel that wields enormous influence with the Centers for Medicare & Medicaid Services (CMS) in setting the relative values of medical procedures, which are then used to determine reimbursement levels. CMS has historically accepted about 90% of the panel’s recommendations.
Klepper is arguably the RUC’s most outspoken critic, thanks to his Replace the RUC blog. He charges that the RUC is subspecialist-dominated and as a result has played a prominent role in subjugating primary care – holding down primary care physicians’ salaries while contributing to the frantic, hamster-wheel-like feel of today’s primary care practices that are forced to pack each day with wall-to-wall 15-minute patient visits to turn a decent profit.