This Week's News
New guide removes the mystery from insurer-provided profile reports
A physician guide developed by the AMA helps physicians verify the accuracy of complex profile reports and use the information to make practice improvements.
The AMA guide "Take Charge of Your Data" provides practical instructions to simplify the process of reviewing these profile reports and help physicians apply their data to providing patients with the highest quality care. Using a standardized report with fictional patient data, the guide walks physicians through the features of a typical data report and how to review overall performance results, quality data and cost-of-care data.
Because profile reports physicians receive from health insurers are highly complex and differ among insurers, the reports can be confusing and the data difficult to verify. But it is increasingly important for physicians to make sure their reports are accurate because that data—which insurers collect from claims—drives public reporting, pay-for-performance, tiering and narrow-network programs.
"Practice data must be accurate in order to be actionable, and the AMA's new guide will help physicians ensure that only reliable information is the basis of any profile report," AMA President Peter W. Carmel, MD, said in a news release.
Visit the AMA's newly updated Practice Management Center to access this and other innovative AMA resources that promote the accuracy and transparency of physician profiling activities.
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