Physician cost-profiling: Are you "tier 1" or "tier 2"?
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A recent article in New England Journal of Medicine shines light on misclassification of physicians in cost-profile analyses, a practice that is often based on dubious data, erroneous reporting, and misinterpretation of guidelines, which can mislead the public and damage the reputation of the misclassified physician.
Is physician cost-profiling an impossible task? What's your experience with it?
See:
Adams JL, Mehrotra A, et al. Physician cost profiling--reliability and risk of misclassification. N Engl J Med . 2010 Mar 18;362(11):1014-21. Abstract.