Using GlobalRVUs to compare physician groups on cost and efficiency

Global relative value units (GlobalRVUs) allow measurement of unit price and efficiency across physician groups for accountable care organizations (ACOs), shared saving and total cost of care programs, and bundled payment and other capitated arrangements. GlobalRVUs are essentially an extension of Medicare’s resource-based relative value scale (RBRVS) so that every medical service has an RVU. The RVUs are based on Healthcare Common Procedure Coding System (HCPCS), diagnosis-related group (DRG), or National Drug Code (NDC) Pharmacy classifications and are not affected by the contractual allowed amount.

Milliman’s Will Fox offers perspective in this MedInsight blog post where he provides an example for the comparison of delivery systems.

For a more detailed account of Milliman GlobalRVUs download the white paper here.