Physician Cost Profiling
To the Editor: Adams et al. (March 18 issue) 1 highlight problems in the use of claims data to profile physicians. We agree caution is necessary, but not all “profiling” is problematic. Three modifications can improve estimates: excluding infrequent and expensive items outside the physician's c...
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| Veröffentlicht in: | The New England journal of medicine 2010-07, Vol.363 (5), p.491-493 |
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| container_end_page | 493 |
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| container_title | The New England journal of medicine |
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| creator | Luft, Harold S Eaton, Laura J |
| description | To the Editor:
Adams et al. (March 18 issue)
1
highlight problems in the use of claims data to profile physicians. We agree caution is necessary, but not all “profiling” is problematic. Three modifications can improve estimates: excluding infrequent and expensive items outside the physician's control, focusing on the primary care physician, and being condition-specific. For the profiling of resource use (i.e., cost) related to specific chronic illnesses, we recommend setting aside inpatient care.
We evaluated data on 20,073 year-long episodes of care for patients with diabetes (excluding inpatient costs) in a large medical group in 2006, 2007, and 2008. Costs . . . |
| doi_str_mv | 10.1056/NEJMc1004716 |
| format | Article |
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Adams et al. (March 18 issue)
1
highlight problems in the use of claims data to profile physicians. We agree caution is necessary, but not all “profiling” is problematic. Three modifications can improve estimates: excluding infrequent and expensive items outside the physician's control, focusing on the primary care physician, and being condition-specific. For the profiling of resource use (i.e., cost) related to specific chronic illnesses, we recommend setting aside inpatient care.
We evaluated data on 20,073 year-long episodes of care for patients with diabetes (excluding inpatient costs) in a large medical group in 2006, 2007, and 2008. Costs . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMc1004716</identifier><identifier>PMID: 20666629</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Conflicts of interest ; Costs ; Costs and Cost Analysis - methods ; Diabetes Mellitus - economics ; Diabetes Mellitus - therapy ; Episode of Care ; Group insurance ; Health Care Costs ; Health care industry ; Humans ; Insurance Claim Review ; Physicians ; Physicians, Family - economics ; Professional Practice - economics</subject><ispartof>The New England journal of medicine, 2010-07, Vol.363 (5), p.491-493</ispartof><rights>Copyright © 2010 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c524t-e474c769b319945f42d065ac04b0243c2c5326ad47df750d7ee62ed0ea37a3d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMc1004716$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/734373213?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20666629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luft, Harold S</creatorcontrib><creatorcontrib>Eaton, Laura J</creatorcontrib><title>Physician Cost Profiling</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Adams et al. (March 18 issue)
1
highlight problems in the use of claims data to profile physicians. We agree caution is necessary, but not all “profiling” is problematic. Three modifications can improve estimates: excluding infrequent and expensive items outside the physician's control, focusing on the primary care physician, and being condition-specific. For the profiling of resource use (i.e., cost) related to specific chronic illnesses, we recommend setting aside inpatient care.
We evaluated data on 20,073 year-long episodes of care for patients with diabetes (excluding inpatient costs) in a large medical group in 2006, 2007, and 2008. 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Adams et al. (March 18 issue)
1
highlight problems in the use of claims data to profile physicians. We agree caution is necessary, but not all “profiling” is problematic. Three modifications can improve estimates: excluding infrequent and expensive items outside the physician's control, focusing on the primary care physician, and being condition-specific. For the profiling of resource use (i.e., cost) related to specific chronic illnesses, we recommend setting aside inpatient care.
We evaluated data on 20,073 year-long episodes of care for patients with diabetes (excluding inpatient costs) in a large medical group in 2006, 2007, and 2008. Costs . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>20666629</pmid><doi>10.1056/NEJMc1004716</doi><tpages>3</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; New England Journal of Medicine Current; ProQuest Central UK/Ireland; EZB Electronic Journals Library |
| subjects | Conflicts of interest Costs Costs and Cost Analysis - methods Diabetes Mellitus - economics Diabetes Mellitus - therapy Episode of Care Group insurance Health Care Costs Health care industry Humans Insurance Claim Review Physicians Physicians, Family - economics Professional Practice - economics |
| title | Physician Cost Profiling |
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