Health Care Financing Review

Title
Comparison of alternative weight recalibration methods for diagnosis-related groups.
First Author
Rogowski, Jeannette R
Date of Pub
1990 Winter
Pages
87-101
Volume
12
Issue
2
Other Authors
Byrne, Daniel J
Abstract
In this article, alternative methodologies for recalibration of the diagnosis-related group (DRG) weights are examined. Based on 1984 data, cost and charge-based weights are less congruent than those calculated with 1981 data. Previous studies using 1981 data demonstrated that cost- and charge-based weights were not very different. Charge weights result in higher payments to surgical DRGs and lower payments to medical DRGs, relative to cost weights. At the provider level, charge weights result in higher payments to large urban hospitals and teaching hospitals, relative to cost weights.
Abstract Continued
N/A
MeSH
Prospective Payment System : Ancillary Services, Hospital/economics : Comparative Study : Cost Allocation/methods : Diagnosis-Related Groups/economics : Methods : Rate Setting and Review/methods : Relative Value Scales : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB91-176263