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Selection Bias in Attribution Methods

Fairness, Accountability and Attribution. When you discuss value-based care, payment or simply performance measurement these words seem to be disconnected, at best, and often in conflict. At Nascate we have been busy dissecting the Selection Bias that goes along current Attribution Methods -- and the results have been both enlightening and hopeful. The source of the problem is that if you attribute solely based on utilization - especially if you emphasize primary care services, the very metric you are trying to impact, you invite bias and obscure true underlying results. Results that don’t confirm “reality” undermine trust. We are actively working on models that improve fairness, build trust and put accountability back into accountable care. I would love to hear your thoughts and better yet experiences, with this rather obscure, but I think critical, corner of Value in healthcare. 

-Bill Kelly

William P. Kelly is our Chief Executive Officer. He has extensive executive level experience in healthcare leadership, policy, and strategy and previously founded and served as President and Principal of Treo Solutions, LLC. As a widely recognized leader in payment policy and an expert in healthcare analytics, services, and M&A, William has published articles, edited books, and spoken nationally about the business of healthcare.