Adjust utilization for case mix and make physicians responsible for remaining variation.
"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.
D015142:Baltimore; D019985:Benchmarking; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics; D006801:Humans; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D020380:Needs Assessment; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014600:Utilization Review