Monday, May 19, 2008
TMA President Josie Williams, MD, called on Blue Cross and Blue Shield of Texas to stop using its risk-adjusted cost index (RACI) to evaluate physicians in its BlueChoice Solutions program. Dr. Williams’ letter is based on a strongly worded report from a TMA ad hoc committee that found RACI is so problem-ridden as to be “deceptive and invalid” for measuring how cost-efficient a network physician is. RACI is based on extremely flawed claims data, such as holding physicians responsible for patients they’ve never seen.
Posted by Steve Levine at 12:35 PM