The brainiacs at NCCI have a must-read post detailing physician services’ costs and utilization in most states.
Gotta say this is one of the most useful and insightful analyses I’ve seen from anyone. Kudos to NCCI.
- VERY wide range of physician costs – on a service year basis, state costs range from $800 to almost 4 times that.
- Using NCCI’s utilization metric (units), utilization varied almost as much – from fewer than 1000 to more than 2500 units.
- one of the most insightful learnings is about the factors contributing to variations in utilization…
- “service intensity” is the most important driver of variation; NCCI’s definition is the “collection and type of physician services rendered on average for a claim given its diagnosis and whether there was a major surgery.”
What does this mean for you?
Your medical management strategy MUST be state-specific.