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Insurance company cost-profiling methods often misclassify docs
Modern Healthcare

Insurance company profiling methods used to classify physicians by costs in a two-tiered system misclassify physicians 22% of the time, according to estimates in a RAND Corp. report published in the New England Journal of Medicine.

“Consumers, physicians, and purchasers are all at risk of being misled by the results produced by these tools,” concluded the researchers who analyzed aggregated claims data for 2004 and 2005 from four Massachusetts insurance companies.