What data sources are used to measure physician performance?
• CPPI uses administrative claims data from the CPPI participating health plans to generate the performance rates. Sutter Medical Group and Sutter health system data are not included as they were not made available. • The data are drawn from insurance claims and encounters and include prescription drugs and professional services such as ambulatory visits, lab and other diagnostic and monitoring services. The measures requiring lab tests reflect only the services provided, not the lab values. The data do not include patients from non-participating health plans or from certain business segments (e.g., some but not all self-insured plan data are included).
