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Evaluation of a peer-to-peer data transparency intervention for Mohs micrographic surgery overuse

JAMA Aug 21, 2019

Albertini JG, Wang P, Fahim C, et al. - Via a non-randomized controlled intervention study comprising 2,329 US surgeons who did Mohs micrographic surgery (MMS) procedures from January 1, 2016, to March 31, 2018, researchers assessed the efficiency of a behavioral intervention intended at decreasing extreme overuse in MMS, as defined by the specialty society, by confidentially sharing stages-per-case performance data with individual surgeons benchmarked to their peers nationally. A total of 44 exhibited a decrease in mean stages per case in comparison with 60 outliers in the control group. A mean stages-per-case decrease of 12.6% among outliers in the intervention group vs 9.0% among outliers in the control group was noted. The total administrative cost of the intervention program was $150,000, and the estimated decrease in Medicare spending was $11.1 million. Thus, sharing personalized practice pattern data with physicians benchmarked to their peers could decrease overuse of MMS amongst outlier physicians.
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