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Adjust utilization for case mix and make physicians responsible for remaining variation.

出版信息

Data Strateg Benchmarks. 1998 Feb;2(2):25-8.

PMID:10345360
Abstract

"But my patients are sicker!" Health Source/CIGNA put a stop to this physician complaint by switching to quarterly physician profiles that are case mix adjusted using clinical algorithms based on ICD-9 diagnosis codes. The new method levels the playing field, and helps to more accurately identify inefficient use of services. A sample physician profile is included in this report.

摘要

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