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
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