Exhibit 1.

Physician Work Values Recommended For Medicare Fee Schedule By AMA Relative Value Update Committee And CMS Final Values, 1994–2010

	Number of cases in which work value was:			Average work value
Year	Decreased	Unchanged	Increased	CMS	Update committee
1994	44	252	22	16.46	16.81***
1995	15	120	4	9.34	9.39
1996	11	65	2	10.25	10.29
1997	8	185	13	4.94	4.94
1998	7	61	0	6.80	6.93**
1999	20	45	0	8.07	8.34**
2000	12	107	0	9.31	9.36***
2001	8	277	4	7.03	7.06
2002	10	217	0	8.24	8.26
2003	6	124	0	9.35	9.47
2004	2	127	0	7.04	7.08
2005	4	159	0	6.79	6.80
2006	1	102	0	14.90	14.91
2007	62	102	0	9.30	9.90****
2008	6	115	0	6.86	7.01
2009	3	154	1	10.19	10.19
2010	79	207	5	6.46	6.92****
Total	298	2,419	51	9.02	9.18****

Source Authors’ analysis.

Notes “Decreased” means that the Centers for Medicare and Medicaid Services (CMS) lowered the update committee’s recommended work value. “Unchanged” means that CMS accepted the committee’s recommendation. “Increased” means that CMS raised the committee’s recommended work value. AMA is American Medical Association.

^**p < 0:05

^***p < 0:01

^****p < 0:001