Rvus- Whose Value is It, Anyway?

As I discuss career options with a group of third yearfrom supply and demand, as in my area it is much
medical students, I imagine a marketing brochure foreasier to see an orthopedist this week than to see a
psychiatry residencies in a world of mental healthpsychiatrist within the next month. There must be
parity:other factors that affect the perceived value of the
The brain is undeniably the most complex organ ofservices of a psychiatrist. Does the lower
the human body. Beyond controlling virtually all bodyreimbursement reflect decades of poor negotiating?
functions, the brain is the source of the mind, whichAre psychiatrists more likely to succumb to modesty
is but an ethereal concept, so hard to grasp thatand self-effacement? Do psychiatrists have so great
even the language of mental theory requiresa level of job satisfaction that they don't worry
methodical parsing. Treatments for diseases of theabout money? I wonder if the difference reflects a
mind and brain require the intricate understanding ofmuch larger problem-- that psychiatrists have bought
chemistry, physiology, and anatomy common to allinto a societal impression that mental health is less
branches of medicine, as well as the ability to stepvaluable than physical health.
outside of oneself to objectively observe personalitySupport for this last concern can be found when one
and emotion. The psychiatrist must tolerate thelooks at the funding of mental health services in
unsettling awareness of the mysterious relationshipgeneral, and the tacit acceptance of the funding
between mind and matter, and must help others findsituation by psychiatrists and other mental health
their own answers to the mysteries of the humancaregivers. My insurer is required by statute to
condition. The shortage of physicians willing to engageprovide coverage for mental health services up to
in this area of study reflects the enormity of theabout $2000 per year. This is the total amount
challenges. Some medical students becomeprovided for all services, and is not paid for any
cardiovascular surgeons, the plumbers of medicine.treatment deemed 'residential'. On the other hand,
Others choose to nail bones together, taking pleasurethere is no limit on payment for orthopedic injuries.
in the simplicity of hand tools. Still others find a goodThe insured alcoholic is covered for the $1800
living looking at see-through images of body parts;surgeon's fee for a fractured kneecap- and more for
often a day or two after the images have beenthe incidental hospital bill and the bills for physical
used for their intended purpose. These tasks pale intherapy. If the alcoholic strikes his head, the
comparison to the labors of understanding andradiologist receives $1200 to look at the MRI. And if
treating diseases based in the final frontiers ofhe abruptly stops drinking for a week, the hospital is
medical knowledge. No wonder that the masters ofpaid tens of thousands of dollars to help him through
medicine-those who work in the vast field ofwithdrawal-- only to turn him out to drink again. Yet
interventional psychiatry-are so valued by society.to treat the primary alcoholism, the insurer will
The time has come for my transition from psychiatricpay…$2000. Unless the patient has been
residency to psychiatric practice. Not surprisingly, weplaced in a more effective residential treatment
graduates have encountered great demand for ourcenter, in which case there is no payment at all. And
services; the posting of resumes on internet boardsif the patient has spent $2000 for treatment of
results in a slew of telephone calls from eagerdepression earlier in the year, the insurer will continue
recruiters. For my younger colleagues the prospectto pay for kneecap fractures and MRIs, but not for
of six-figure incomes suggests reward, at last, fortreatment of the underlying cause of these
years of work and debt. Most job offers come frominjuries-alcoholism.
healthcare systems looking for someone to prescribeThere is no shortage of evidence for the notion that
medication as counterpoint to their bevy ofsociety places a low value on the treatment of
lesser-paid psychotherapists. Under the guarantee ofmental illness. My insurer will pay $70,000 or more for
income and benefits lies the expectation ofcardiac bypass to reduce a person's risk of a heart
productivity. This productivity is not measured byattack, but only $2000 per year for treatment of the
patient satisfaction, symptom improvement, orsame person's depression, to reduce risk of suicide.
reduced morbidity. Rather the name of the game isThe narcotic addict is allowed $2000 for treatment
the RVU, and the way to get more RVUs is to seeof heroin addiction, vs. hundreds of thousands of
more patients in whatever time is available. Whiledollars for a secondary HIV infection. Our insurers
many residents long for the independence to practiceface no uprising when they decide that an insured
as they see fit, their debt loads require more practicalbusinessman deserves a new ACL to allow a bit
approaches. Concerns over production and practicemore knee stability, yet an unfortunate computer
limitations pale in comparison to long-delayed plans tooperator who develops schizophrenia deserves less
start families and buy houses.than one-tenth as much to prevent delusions and
For my part, I am grateful for the opportunity tohallucinations.
earn good money in the service of a challenging andThe relatively low payments received by psychiatrists
rewarding career. But I am also aware of the strikingcan be blamed to some extent on psychiatrists
difference between the salaries of psychiatrists andthemselves. They accept their own devaluation when
the salaries of many other physicians. As a formerthey sign for lower salaries or when they accept
practitioner of one of medicine's more lucrativelimitations on their ability to practice psychotherapy.
specialties, I find myself comparing my apparentThey allow administrators and others without medical
value now with my value then. Why is my work nowtraining to dictate treatment plans. And they follow
worth less than half as much as my work as anthe Pied Piper of pill pushing, happy to become simple
anesthesiologist?prescribers, even as state legislatures grant similar
At the end of a night in the crisis service last week Iprivileges to those with minimal medical qualifications. I
walked past a group of patients huddled in the cold,am reminded of the late 1980's when anesthesia was
waiting for the doors of the walk-in clinic to open. Asbecoming perceived as a technical trade, and was
I looked at their tired faces, I realized thechallenged by the expanding statutory roles of nurse
desperation they must feel to leave homes oranesthetists. Rather than narrowing anesthesiology,
homeless shelters at such a cold and early hour, andthe answer to devaluation was found by moving into
make the trek to the clinic by foot or by bus. Theircritical care and pain medicine and asserting the roles
pains were certainly as great as the pains of any ofof anesthesiologists as physicians. Similarly,
my patients presenting for surgery. But for somecardiologists did themselves and their patients well
reason there is less outrage over their lack of carewhen they laid claim to angioplasty, and called
than would be the case for a group of patients withthemselves 'interventional'. The new technology
untreated diabetes, appendicitis, or heart diseasebrought public respect and money, which then yielded
standing outside a hospital. I realized that like many inan explosion of new treatments. Likewise, at some
society, I had unwittingly accepted the scene beforepoint radiologists decided that they could stick
me as adequate care for the mentally ill.needles into kidneys as accurately as any surgeon,
The RBRVS, or resource-based relative value scale,and soon radiologists were awash in black ink, and
was instituted by Medicare in 1992 in an attempt tolearning to stick needles pretty much anywhere. I
standardize payments for physician services. Relativedon't know what the parallel path for psychiatrists will
value units, or RVU's, are assigned to physicianbe, but it is vital that as insights develop into brain
services based on three main factors: physician work,function, psychiatrists lay claim to them, grasp them,
practice expenses, and the cost of liability insurance.and never let them go. There is nothing like a brain
Physician work is determined by several factorsprocedure to grab society's interest and respect. In
including time required for the service, the technicalfact, I posit that the simple adoption of the term
skill and physical effort, the mental effort and'Interventional Psychiatry' would increase the funding
judgment, and the amount of stress experienced byof psychiatrists and psychiatric research by 20%.
the physician due to the risk to the patient. To arriveThe low priority of mental health services to society
at the 'fair value' of services, the number of relativeis, of course, a complex issue. Stigma, lack of
value units is multiplied by a universal dollar value, andlobbying resources, and denial of the impact of
adjusted slightly for practice location according tomental illness certainly play roles in the lack of public
regional cost of living indices.interest and investment in mental health. Resources
In theory, this approach to payment provides a levelare thin for the unemployed and uninsured mentally ill,
playing field for physicians. Payments for aand the field of psychiatry deserves kudos for
cholecystectomy, for example, reflect the fortitudeattempting to meet the needs of this population in
one must have to cut into someone's body and thereturn for little financial gain. But for patients with
time required for surgery and postoperative care.resources, we must recognize and advocate that
Payments for neonatal critical care reflect the highermental health care is as important as treatment for a
level of stress that comes with working in antorn ACL, and deserves equitable reimbursement.
alarm-filled environment, as well as the need forThe abilities to laugh, to work, and to love are as
proficient technical skills. Medicare strictly adheres tovital as the ability to return to beach volleyball.
this formula, but in the world of private insurancePsychiatrists must realize that at some point,
some physicians' relative value units are more valuableexpectations of relatively low reimbursements and
than others. In my region, for example, Medicare hasmedical standing become self-fulfilling prophecies, as
decided that the relative value of a unit of physicianour capitalist society tends to value those most who
work is about $38. The largest third-party payer invalue themselves. The correction of societal bias and
the area will pay psychiatrists, pediatricians, or familythe resultant devaluation of our services will require
physicians about $50 per value unit. But orthopedistsconstant efforts to educate, negotiate, and assert
and radiologists, or podiatrists providing orthopedicthe value of mental health care in a healthy society.
services, are paid $100 per value unit.And as self-serving as it may be, psychiatrists, as the
Given that the relative value of a service has beenvoices, faces, and business representatives of mental
predetermined, what accounts for the difference inhealth, will raise the status and treatment of their
payment? If not due to stress, physical or mentalpatients as they work to raise the scientific, and yes,
effort, risk, technical proficiency, or practice cost,economic, status of themselves as physicians.
where does the difference come from? Certainly not