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Physician profiling and capitated income distribution
1Gastrointestinal Associates, P.C., Knoxville, Tennessee, USA.
Gastroenterology Clinics of North America
|January 24, 1998
Abstract:
Increasingly, gastroenterologists are addressing the practice issues of physician profiling and capitation. This article describes a method to easily create practice-generated physician profiles that are used in quality of care management and contracting decisions. These profiles are also used as part of a method for capitation revenue distribution that is described and that has been used by the author's practice for over 3 years. This capitation revenue distribution methodology properly rewards the provision of cost-effective care and bonuses desirable to physician-patient relationships, while protecting against under- or over-utilization.