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Monday, May 19, 2008

TMA PANEL FINDS BLUE CROSS COST RATINGS “DECEPTIVE AND INVALID”

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.

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