GAO Finds Physician Profiling Can Work
Individual services provided to a patient by a particular physician accounted for only 2% of total expenditures—about $350 for each Medicare patient in a physician’s practice, GAO said. All other services—including those provided by other physicians, home health care, hospice care, outpatient services, and durable medical equipment—accounted for the remaining 44% of expenditures.
Profiling physicians to improve efficiency has been used by some private insurance companies. Overall, GAO said a per capita methodology is "a useful approach" to profiling physicians on their practice efficiency and could become part of a feedback program that includes quality measures and episode based resource-use measures.
Janice Simmons is a senior editor and Washington, DC, correspondent for HealthLeaders Media Online. She can be reached at firstname.lastname@example.org.
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Douglas Hawthorne—A Chance to Do Something Big
- Not-for-Profit Hospitals Find Opportunity Amid Uncertainty
- Why You Should Involve Patients in Nursing Handoffs
- 'Country Doctor of the Year' Embraces Challenges of Rural Medicine
- Telehealth Improves Patient Care in ICUs
- The 5 Biggest Healthcare Finance Trouble Spots
- Substance Abuse Resurfaces Among Anesthesiologists in Training