Cave Consulting Group (CCGroup) is focused on improving the efficiency and quality in the healthcare delivery system. We recognize the need to address all components of medical trend (not just service price discounts), if efficiency and quality are to be improved and trend is to be controlled. We believe market efficiency and quality will be improved once practitioner and hospital efficiency and quality are accurately measured, and patients have knowledge of--or are directed to--the best practicing providers. We began measuring the efficiency and quality of practitioners' practice patterns in 1991-1992. Since this time, we have worked with many leading HMOs, insurance companies, employers, physician-hospital organizations, and third party administrators.