Research Catalog

Title

Has DRG creep crept up? : decomposing the case mix index change between 1987 and 1988 / Grace M. Carter, Joseph P. Newhouse, Daniel A. Relles.

Author

Carter, Grace M.

Publication

Santa Monica, CA : Rand, 1991.

Items in the Library & Off-site

Details

Additional Authors

• Newhouse, Joseph P.
• Relles, Daniel A., 1943-
• Relles, Daniel A.
• United States. Health Care Financing Administration
• United States. Prospective Payment Assessment Commission
• Rand Corporation
• Rand/UCLA/Harvard Center for Health Care Financing Policy Research

Description

xiv, 41 p.; 23 cm.

Summary

Between 1987 and 1988, the Medicare program's case mix index (CMI), which is an average of the diagnosis-related group weights of hospital patients, increased by about 3.3 percent, resulting in a $1.5 billion increase in the amount the Health Care Financing Administration paid to hospitals. This report describes results of a study to determine how much of the 1987-1988 CMI increase was caused by an increase in the real resource needs of Medicare patients and how much was caused by changes in coding and administrative practices. The results indicate that true change was responsible for 50 percent of the total CMI increase. The analysis showed that hospitals changed their coding behavior relative to a consistent coding standard.

Subject

• Prospective Payment System
• Health Care Costs
• Diagnosis-Related Groups
• Diagnosis related groups > United States
• Hospital patients > United States > Classification
• Medicare
• United States

Genre/Form

• Classification
• Classification.

Note

• "R-4098-HCFA/ProPAC."
• "Supported by the Health Care Financing Administration, U.S. Department of Health and Human Services, Prospective Payment Assessment Commission."

Bibliography (note)

• Includes bibliographical references (p. 41).

Processing Action (note)

• committed to retain

ISBN

0833011952

OCLC

• 28112137
• SCSB-10114452

Owning Institutions

Harvard Library