Economic profiling of physician specialists: Use of outlier treatment and episode attribution rules

Inquiry

Volumn 43, Issue 3, 2006, Pages 271-282

  Thomas, J William ^a,b   Ward, Kathleen ^c  

^a UNIVERSITY OF SOUTHERN MAINE   (United States)

^b UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^c UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCURACY; ANALYTICAL ERROR; ARTICLE; BILLING AND CLAIMS; COMPUTER PROGRAM; COMPUTER SIMULATION; COST EFFECTIVENESS ANALYSIS; ECONOMIC ASPECT; GENERAL PRACTICE; GENERAL SURGERY; HEALTH CARE COST; HEALTH MAINTENANCE ORGANIZATION; MEDICAL FEE; MEDICAL SPECIALIST; PREDICTION; PRESCRIPTION; RESPONSIBILITY; SENSITIVITY AND SPECIFICITY;

EID: 33845665823     PISSN: 00469580     EISSN: None     Source Type: Journal    
DOI: 10.5034/inquiryjrnl_43.3.271     Document Type: Article

References (9)

1. Fronstin, P. 2003. Tiered Networks for Hospital and Physician Health Care Services. EBRI Issue Brief Number 260. Washington, D.C.: Employee Benefits Research Institute.
2. Hedges, L.V., and I. Olkin. 1985. Statistical Methods for Meta-Analysis. Orlando, Fla.: Academic Press.
3. Rosen, A.K., and A. Mayer-Oakes. 1998. Developing a Tool for Analyzing Medical Care Utilization of Adult Asthma Patients in Indemnity and Managed Care Plans: Can an Episode of Care Framework Be Used? American Journal of Medical Quality 13:203-212.
4. Strunk, B.C., and J.D. Reschovsky. 2002. Kinder and Gentler: Physicians and Managed Care, 1997-2001. Tracking Report: Results from the Community Tracking Study. No. 5. Washington, D.C.: Center for the Study of Health System Change (CSHSC).
5. Symmetry Health Data Systems. 2005. Episode Treatment Groups: An Illness Classification and Episode Building System. Available at: http:// www.symmetry-health.com/ETGTut_Descl.htm.
6. Thomas, J.W., K. Ward, and K.L. Grazier. 2004a. 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: Institute for Health Policy, Muskie School for Public Service, University of Southern Maine.
7. Thomas, J.W., K.L. Grazier, and K. Ward. 2004b. Comparing Accuracy of Risk Adjustment Methodologies Used in Economic Profiling of Physicians. Inquiry 41:218-231.
8. Thomas, J.W. 2005. Sample Size Considerations in the Economic Profiling of Specialist Physicians. Portland: University of Southern Maine.
9. -. 2006. Should Episode-Based Economic Profiles Be Risk Adjusted to Account for Differences in Patients' Health Risks? Health Services Research 41:581-598.