Do differences in profiling criteria bias performance measurements? Economic profiling of medical clinics under the Korea National Health Insurance program: An observational study using claims data

Table 2 Cost-efficiency indices and their profiling criteria

Cost-efficiency (CI) indices		Case-mix classification		Data range		Cost range
		KCD & surgery experience	KOPG	300 most frequent disease cases	All cases	Excluding pharmacy costs	Including pharmacy costs
CI_1	KOPG, all cases, including pharmacy costs		Y		Y		Y
CI_2	KOPG, all cases, excluding pharmacy costs		Y		Y	Y
CI_3	KOPG, 300 most frequent disease cases, including pharmacy costs		Y	Y			Y
CI_4	KOPG, 300 most frequent disease cases, excluding pharmacy costs		Y	Y		Y
CI_5	KCD & surgery, all cases, including pharmacy costs	Y			Y		Y
CI_6	KCD & surgery, all cases, excluding pharmacy costs	Y			Y	Y
CI_7	KCD & surgery, 300 most frequent disease cases, including pharmacy costs	Y		Y			Y
CI_8	KCD & surgery, 300 most frequent disease cases, excluding pharmacy costs	Y		Y		Y

ISSN: 1472-6963