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Author: Norbert Goldfield Publisher: ISBN: Category : Business & Economics Languages : en Pages : 424
Book Description
This book provides a summary of the best techniques available to adjust for differences in illness among patients, and provides several case studies to show you how to use physician profiling to improve care. You'll also benefit from the latest information on the best strategies available to adjust capitation rates, plus you'll examine critical issues like budget management, utilization management, and more.
Author: Norbert Goldfield Publisher: ISBN: Category : Business & Economics Languages : en Pages : 424
Book Description
This book provides a summary of the best techniques available to adjust for differences in illness among patients, and provides several case studies to show you how to use physician profiling to improve care. You'll also benefit from the latest information on the best strategies available to adjust capitation rates, plus you'll examine critical issues like budget management, utilization management, and more.
Author: Neil F. Piland Publisher: Jossey-Bass ISBN: Category : Business & Economics Languages : en Pages : 216
Book Description
Many health care leaders believe that defining and measuringphysician work efforts and linking those efforts to practical andmeasurable clinical outcomes-physician profiling-will not onlyimprove patient satisfaction and increase the quality of care, itwill revolutionize the health care industry. Physician Profilingbrings together twenty-one of the nation's most prominent physicianresearchers and executive medical group administrators, givinghealth care leaders and physician practice administrators the toolsthey need to evaluate and implement a physician profiling system,unlocking this powerful technique for use in their ownorganizations. "Reducing clinical variation among physicians is the name of thegame in improving health care. This book provides an overview thatyou shouldn't miss of the state-of-the-art in this rapidlydeveloping field."--Dean C. Coddington, principal, McManisAssociates and author, Making Integrated Health Care Work
Author: A. Bruce Steinwald Publisher: DIANE Publishing ISBN: 1437924727 Category : Health & Fitness Languages : en Pages : 52
Book Description
Evaluates the per capita methodology for profiling physicians -- a method which measures a patient's resource use over a fixed period of time and attributes that resource use to physicians -- in order to assist with the development of a physician feedback approach. It examines: (1) the extent to which physicians in selected specialties show stable practice patterns and how beneficiary utilization of services varies by physician resource use level; (2) factors to consider in developing feedback reports on physicians' performance, incl. per capita resource use; and (3) the extent to which feedback reports may influence physician behavior. This report focused on 4 medical specialties and 4 metro. areas chosen for their geographic diversity. Illustrations.
Author: Ian G. Duncan Publisher: ACTEX Publications ISBN: 1566987695 Category : Business & Economics Languages : en Pages : 350
Book Description
This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Author: Norbert Goldfield
Author: Norbert Goldfield
Author: Neil F. Piland
Author: Peter Reid Kongstvedt
Author: A. Bruce Steinwald
Author: Gordon F. West
Author: Lyndon Troy Castro
Author: United States. Physician Payment Review Commission
Author: David Edward Marcinko
Author: Ian G. Duncan
Author: