Usual And Customary

Usual, customary and reasonable ( UCR ) is an American method of generating health care prices , [1] described as "more or less whatever doctors decided to charge". [2] According to Steven Schroeder , Wilbur Cohen inserted UCR into the Social Security Act of 1965 "in an unsuccessful attempt to placate the American Medical Association ". [3] Health insurers determine what they deem to be "usual, customary and reasonable" and pay only a percentage of that. [4]


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