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CMA (Cost Minimization Analysis) is a method which seeks to minimize the cost of the output, which has the form of standard. CMA (Cost Minimization Analysis) is a method which seeks to minimize the cost of the output, which has the form of standard. This method is used if we have set the desired output standard. CMA is one of the monocriterial evaluation methods of public expenditure. Inputs are monetary units, outputs are not measured.
In 2008, Medicare applied the budget neutrality factor to the Work RVU. In 2009, Medicare applied a budget neutrality factor to the conversion factor. (Work RVU * Work GPCI) + (Practice Expense RVU * Practice Expense GPCSI) + (Malpractice Expense RVU * Malpractice Expense GPCI) = Total RVUs.Total RVUs * conversion factor * budget neutrality factor = FEE.The conversion factor decreased, but fees increased. This provided a 4-6% increase in E/M services. In previous years, applying the budget neutrality factor to the work RVU had the effect of decreasing payments more for services with high work RVU values.his provided a 4-6% increase in E/M services. In previous years, applying the budget neutrality factor to the work RVU had the effect of decreasing payments more for services with high work RVU values.