HPM Application: Physician Profiling

• Physician profiling: statistical analysis of the treatment patterns of an individual physician or groups of physicians relative to other physicians

  • Management question: Does physician profiling result in lower costs or better health outcomes for our enrollees?
  • Policy question: Does physician profiling result in dumping of riskier patients?
  • Outcomes question: Does physician profiling improve health of population?

• Is an RCT possible? Necessary? Can you learn things in other ways?

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