Statistics in Medicine
A Novel Method for the Fair Assessment of Healthcare Quality Measures and Providers Care Consistency
ABSTRACT The selection and use of quality measures in value‐based payment rely on single‐period methods that conflate sampling noise with genuine within‐provider year‐to‐year execution variability, producing assessments that are unstable across years and dependent on patient volume. We introduce a Longitudinal Beta‐Binomial model, which separates three sources of variability simultaneously and produces a year‐invariant measure‐level assessment and a volume‐independent provider‐specific assessment . Applied to five …