DOCUMENTS

papers

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

Published: February 1, 1998
Category: Bibliography > Papers
Authors:
Countries: United States
Language: null
Types: Care Management
Settings: Health Plan, Hospital

Data Strateg Benchmarks 2:25-28.

“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.

PMID: 10345360

Resource Utilization,Practice Patterns Comparison,United States,Case Management,Baltimore,Diagnosis-Related Groups/classification,Diagnosis-Related Groups/economics,Needs Assessment,Utilization Review

Please log in/register to access.

Log in/Register

LinkedIn Facebook Twitter

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System.
All rights reserved. Terms of Use Privacy Statement

Back to top