MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Need for risk adjustment in adapting episode grouping software to Medicare data.

Citation Type: Journal Article

Publication Year: 2009

ISSN: 0195-8631

PMID: 19719031

Abstract: Episode grouper software offers a potential framework for developing important components of a pay-for-performance system for healthcare providers. If the costs for treating health conditions can be computed, then policymakers can in principle benchmark different providers' cost distributions and reward the most efficient. This article applies two of the most prominent commercial groupers and examines the properties of the cost distributions calculated for their constructed episodes. The analysis reveals that episode cost distributions exhibit substantial variation and skewness, suggesting the need for innovative risk adjustment methods prior to utilizing groupers for the purpose of physician profiling.

Url: http://www.ncbi.nlm.nih.gov/pubmed/19719031

Url: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4195061

User Submitted?: No

Authors: MaCurdy, Thomas; Kerwin, Jason; Theobald, Nick

Periodical (Full): Health care financing review

Issue: 4

Volume: 30

Pages: 33-46

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop