Medicare: Focus on Physician Practice Patterns Can Lead to Greater Program Efficiency Page: 4 of 53
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Tables
Table 1: Percentage of Outlier Physicians in 12 Metropolitan Areas,
2003 12
Table 2: Proportion of Overly Expensive Beneficiaries and Outlier
Threshold Value by CBSA 33
Table 3: Characteristics of Health Care Purchasers' Physician
Profiling Programs 35
Figures
Figure 1: Average Medicare Expenditures, by Quintile, for
Beneficiaries of Nearly Average Health Status 11
Figure 2: Distribution of Total Per-Beneficiary Medicare
Expenditures for Survivors for Risk Categories 1-10 28
Figure 3: Distribution of Total Per-Beneficiary Medicare
Expenditures for Survivors for Risk Categories 11-31 29
Figure 4: Actual and Simulated Distribution of Generalists by their
Medicare Practice's Proportion of Overly Expensive
Beneficiaries in a Hypothetical Metropolitan Area 32
Figure 5: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Albuquerque, N.Mex. 37
Figure 6: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Baton Rouge, La. 38
Figure 7: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Cape Coral, Fla. 38
Figure 8: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Columbus, Ohio 39
Figure 9: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Des Moines, Iowa 39
Figure 10: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Miami, Fla. 40
Figure 11: Percentage of Generalist Physicians by Their Medicare
Practice's Proportion of Overly Expensive Beneficiaries-
Phoenix, Ariz. 40GAO-07-307 Physician Efficiency in Medicare
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United States. Government Accountability Office. Medicare: Focus on Physician Practice Patterns Can Lead to Greater Program Efficiency, report, April 30, 2007; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc302319/m1/4/: accessed March 19, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.