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Table 2 Cost-efficiency indices and their profiling criteria

From: 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

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