Medicare: Per Capital Method Can be Used to Profile Physicians and Provide Feedback on Resource Use
DIANE Publishing, 2010 - 52 pages
Evaluates 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.
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Average percentage remaining beneficiary resource capita measures capita method cardiologists Centers for Medicare Considerations in Developing Developing Physician Feedback diagnostic radiologists dissemination durable medical equipment equal size based feedback to physicians five ascending groups Four Metropolitan Areas GAO analysis hardcopy health category hospice care identify institutional services insurers we contacted internists key considerations literature we reviewed measure of physicians Medicaid Services Medicare & Medicaid Medicare beneficiaries Medicare costs Medicare expenditures Medicare FFS Medicare Part D Medicare Resource MedPAC MIPPA Mock Physician Feedback mock report number of physicians officials we interviewed orthopedic surgeons percent physician behavior Physician Feedback Report physician profiling physician resource physician’s practice profiling experts profiling methodology profiling physicians provide feedback Quality Improvement Organization quintileb rank REPORT SAMPLE REPORT reports to physicians resource use measures resource use physicians resource use quintile risk categories risk-adjusted SAMPLE REPORT SAMPLE selected literature specialist physicians specialty society officials stability of physicians