Economic profiling of physicians: Does omission of pharmacy claims bias performance measurement?

American Journal of Managed Care

Volumn 12, Issue 6, 2006, Pages 341-351

  Thomas, J William ^a  

^a UNIVERSITY OF SOUTHERN MAINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CARDIOLOGIST; COST; DATA BASE; ECONOMIC ASPECT; GENERAL PRACTITIONER; GENERAL SURGERY; HEALTH MAINTENANCE ORGANIZATION; HUMAN; MEASUREMENT; MODEL; NEUROLOGY; PERFORMANCE; PHARMACY; PHYSICIAN; PRIORITY JOURNAL; RESPONSIBILITY; SURGEON;

BIAS (EPIDEMIOLOGY); HEALTH MAINTENANCE ORGANIZATIONS; HUMANS; INSURANCE, PHARMACEUTICAL SERVICES; PHYSICIAN'S PRACTICE PATTERNS;

EID: 33745190050     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (10)

1. Fronstin P. Tiered Networks for Hospital and Physician Health Care Services. Washington, DC: Employee Benefits Research Institute; August 2003. EBRI issue brief 260.
2. Testimony Before the Senate Finance Committee, "Pay for Performance in Medicare," 112th Cong, 2nd Sess (July 27, 2005) (testimony of Mark E. Miller). Washington, DC: Medicare Payment Advisory Commission. Available at: http://www.medpac.gov/publications/congressional_testimony/Testimony_P4P. pdf?CFID=1659798&CFTOKEN=88972043. Accessed May 13, 2006.
3. Symmetry Health Data Systems, Inc. Episode Treatment Groups: an illness classification and episode building system. 2005. Available at: http://www.symmetryhealth.com/ETGTut_Desc1.htm. Accessed May 13, 2006.
4. Thomas JW. Should episode-based economic profiles be risk adjusted to account for differences in patients' health risks? Health Serv Res. 2006;41:581-598.
5. Thomas JW, Ward K, Grazier KL. Using Physician Profiling Software to Evaluate the Practice Efficiency of Physician Specialists. Final Report to the Robert Wood Johnson Foundation Health Care Organization and Financing Program Grant #047789. Portland, Me: Institute for Health Policy, Edmund S. Muskie School for Public Service, University of Southern Maine; 2004.
6. Hedges LV, Olkin I. Statistical Methods for Meta-analysis. Orlando, Fla: Academic Press; 1985.
7. de Brantes, ed. Measuring Provider Efficiency, Version 1.0: A Collaborative Multistakeholder Effort [White Paper]. Washington, DC: Leapfrog Group and Bridges to Excellence; 2004. Available at: http://www.cmwf.org/ publications/publications_show.htm?doc_id=257206. Accessed May 13, 2006.
8. Thomas JW, Grazier KL, Ward K. Economic profiling of primary care physicians: consistency among risk adjusted measures. Health Serv Res. 2004;39: 985-1003.
9. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrica. 1977;33:159-174.
10. Thomas JW. Sample Size Considerations in Economic Profiling of Physician Specialists. Portland, Me: Institute for Health Policy, Edmund S. Muskie School of Public Service, University of Southern Maine; 2005.