Clinician feedback on using episode groupers with Medicare claims data

Health Care Financing Review

Volumn 31, Issue 1, 2009, Pages 51-61

  Thomas, Fred ^a   Caplan, Craig ^a   Levy, Jesse M ^a   Cohen, Marty ^b   Leonard, James ^b   Caldis, Todd ^c   Mueller, Curt ^a  

^a CENTERS FOR MEDICARE AND MEDICAID SERVICES   (United States)

^b Kennell and Associates

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DISABILITY; DISEASE DURATION; DISEASE EXACERBATION; FEEDBACK SYSTEM; HOME CARE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MEDICAL PRACTICE; MEDICARE; NURSING CARE; PATIENT IDENTIFICATION; PERFORMANCE; PHYSICIAN; PROSPECTIVE PAYMENT;

COST CONTROL; EPISODE OF CARE; FEEDBACK; HUMANS; INSURANCE CLAIM REVIEW; MEDICARE; PHYSICIAN'S PRACTICE PATTERNS; SOFTWARE; UNITED STATES;

EID: 74849092375     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (7)

1. AdvanceMed Corporation and TrustSolutions, LLC: Efficiency Measure Special Study: Report on Phase III. Technical Expert Panel Evaluation of Episode. July 31, 2007.
2. Insitute of Medicine: Rewarding Provider Performance: Aligning Incentives in Medicare. National Academy Press. Washington, D.C. September 21, 2006. Internet address: http://www.iom.edu/CMS/3809/19805/37232.aspx. (Accessed 2009.)
3. MaCurdy, T., Kerwin, J., Gibbs, J., et al.: Evaluating the Functionality of the Symmetry ETG and Medstat MEG Software in Forming Episodes of Care Using Medicare Data. Acumen, LLC. Burlingame, CA. August 2008a. Internet address: http://www.cms.hhs.gov/Reports/downloads/MaCurdy.pdf. (Accessed 2009.)
4. MaCurdy, T., Theobald, N., Kerwin, J., et al.: Prototype Medicare Resource Utilization Report Based on Episode Groupers. Acumen, LLC. Burlingame, CA. November 2008b. Internet address: http://www.cms.hhs.gov/ reports/downloads/MaCurdy2.pdf (Accessed 2009.)
5. Medicare Payment Advisory Commission: Report to the Congress. Assessing Alternatives to the Sustainable Growth Rate System. Washington, DC. March 1, 2007. Internet address: http://www.medpac.gov/documents/Mar07-SGR- mandated-report.pdf (Accessed 2009.)
6. Medicare Payment Advisory Commission: Report to the Congress: Medicare Payment Policy. Washington, DC. March 2005. Internet address: http://www.medpac.gov/documents/Mar05-EntireReport.pdf (Accessed 2009.)
7. Thomas, F. and Caldis, T.: Emerging Issues of Pay-for-Performance in Health Care. Health Care Financing Review 29(1):1-4, Fall 2007.