Economic Profiling of Physician Specialists: Use of Outlier Treatment and Episode Attribution Rules

This paper examines the influence of episode attribution methodology and cost outlier methodology on the accuracy of physicians' economic profiles. Four years of claims data from a mixed model HMO were processed using the leading episode grouper software. Episode grouped results then were appli...

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Bibliographic Details
Main Authors: J. William Thomas, Kathleen Ward
Format: Article
Language:English
Published: SAGE Publishing 2006-08-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.5034/inquiryjrnl_43.3.271