Patent ID: 8768726

Claim:
A method implemented on a computer system of determining physician efficiency, the method comprising: obtaining medical claims data stored in a non-transitory computer readable medium on the computer system; performing patient analysis using said obtained medical claims data to form episodes of care utilizing the computer system; assigning complete (non-partial) episodes of care to physicians utilizing an assignment rule that allows assignment of an episode of care to more than one physician; assigning at least one physician to a report group based on geographic area designation utilizing the computer system, each physician assigned to no more than one report group; determining eligible physicians and episode of care assignments utilizing the computer system; calculating condition-specific episode of care statistics utilizing the computer system; calculating weighted episode of care statistics across medical conditions utilizing a predefined set of medical conditions for a specific specialty type utilizing the computer system; and determining efficiency scores for physicians from said calculated condition-specific episode of care statistics and said weighted episode of care statistics calculated across medical conditions utilizing the computer system.