Medicare: Per Capital Method Can be Used to Profile Physicians and Provide Feedback on Resource UseEvaluates the per capita methodology for profiling physicians -- a method which measures a patient's resource use over a fixed period of time and attributes that resource use to physicians -- in order to assist with the development of a physician feedback approach. It examines: (1) the extent to which physicians in selected specialties show stable practice patterns and how beneficiary utilization of services varies by physician resource use level; (2) factors to consider in developing feedback reports on physicians' performance, incl. per capita resource use; and (3) the extent to which feedback reports may influence physician behavior. This report focused on 4 medical specialties and 4 metro. areas chosen for their geographic diversity. Illustrations. |
Common terms and phrases
addition adjustment American analysis Appendix approach average behavior beneficiaries capita measures cardiologists claims Comments compared comparisons considerations consists contacted containing costs detail determine developing differences dissemination divided effectiveness electronic examine example expected expenditures feedback to physicians Figure five Four Metropolitan Areas four specialties groups HCCs health status hospital identify important improve increasing individual influence institutional services insurers issue least Management Medicare Medicare beneficiaries method methodology noted officials officials we interviewed organizations orthopedic patients peer percent percentage performance Physician Feedback Report physician resource population practice patterns presented profiling profiling physicians provide feedback quintile range rank recommended remaining REPORT SAMPLE REPORT representatives resource use measures reviewed risk-adjusted SAMPLE REPORT SAMPLE seen Source specialist specialty society officials stability suggested Table treated types